MEDICARE: JAMES BOTTOMS PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PU7826	FL

General Provider Information

NPI Number	:	1407357676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BOTTOMS PHARMACIST

Provider Business Mailing Address
First Line	:	3920 LAKEVIEW ISLE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5852
Country	:	US
Telephone Number	:	404-392-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 LAKEVIEW ISLE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5852
Country	:	US
Telephone Number	:	404-392-6565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	09/11/2025

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Directions to “ JAMES BOTTOMS PHARMACIST” Practice Location

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