KIMBERLY BOTTENBERG
NPI 1790618486
Pharmacist in Ypsilanti, MI

Active since June 04, 2026
3148 PRIMROSE LN, YPSILANTI, MI 48197(248) 404-7325 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Bottenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BOTTENBERG (NPI 1790618486) is an individual pharmacist in Ypsilanti, Michigan, licensed in Michigan (5315251944) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1790618486
Entity TypeIndividual
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY BOTTENBERG
Location Address3148 PRIMROSE LNYpsilanti, MI 48197-3214
Mailing Address3148 Primrose LnYpsilanti, MI 48197-3214
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
NPI 1790618486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5315251944
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3148 PRIMROSE LN, Ypsilanti, MI 48197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790618486, enumerated as an "individual" on June 04, 2026.

The provider is located at 3148 PRIMROSE LN YPSILANTI, MI 48197 and the phone number is (248) 404-7325.

Pharmacist with taxonomy code 183500000X.