MEDICARE: NEVINE BOTROS

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	28RI04358900	NJ

General Provider Information

NPI Number	:	1861336240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEVINE BOTROS

Provider Business Mailing Address
First Line	:	57 HARRISON AVE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1003
Country	:	US
Telephone Number	:	646-730-8511
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 HARRISON AVE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1003
Country	:	US
Telephone Number	:	646-730-8511
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

Similar Medicare Providers

1043218621 — DR. SHARON K GEIMER MD
Practice Location Address:

44344 DEQUINDRE RD , SUITE 480
STERLING HEIGHTS, MI
48314-1003

Practice Phone: 586-323-8935
Practice Fax: 586-323-9058

1962478990 — DAVID RODGERS
Practice Location Address:

44300 DEQUINDRE RD , FAMILY MEDICINE CENTER
STERLING HEIGHTS, MI
48314-1003

Practice Phone: 248-964-0400
Practice Fax:

1710953724 — ANN FORDE
Practice Location Address:

44300 DEQUINDRE RD , FAMILY MEDICINE CENTER
STERLING HEIGHTS, MI
48314-1003

Practice Phone: 248-964-0400
Practice Fax:

1093775199 — GARY S GUSTAFSON MD
Practice Location Address:

44378 DEQUINDRE RD , STERLING HEIGHTS
STERLING HEIGHTS, MI
48314-1003

Practice Phone: 248-964-3070
Practice Fax: 248-964-0057

1396848149 — PENNSYLVANIA CVS PHARMACY, L.L.C.
Practice Location Address:

1003 CALIFORNIA AVE
NATRONA HEIGHTS, PA
15065-2104

Practice Phone: 412-224-7772
Practice Fax:

1124114558 — LINAC SERVICES INC
Practice Location Address:

4650 ADDISON RD
CAPITOL HEIGHTS, MD
20743-1003

Practice Phone: 301-341-9393
Practice Fax: 240-582-6923

Directions to “ NEVINE BOTROS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.