IndividualActive
Michael Bautista, RPH
NPI 1053024117 · Pharmacist · New York, NY
Michael Bautista, RPH is a Pharmacist provider in New York, NY (NPI 1053024117).
Provider details
- NPI number
- 1053024117
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 069874 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 5th Ave
New York, NY 10011-4306
Phone: (212) 835-6920
Street-level locationGet directions
Mailing address
5 Mark Trl
Medford, NY 11763-2513
Registry dates
- Enumerated
- 2023-01-03
- Last updated
- 2023-01-03
- Certified
- 2023-01-03
Frequently asked questions
- What is Michael Bautista's NPI number?
- Michael Bautista's National Provider Identifier (NPI) is 1053024117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Bautista's specialty?
- Michael Bautista is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Michael Bautista located?
- Michael Bautista's practice location on file with NPPES is 130 5th Ave, New York, NY 10011-4306.
- What is Michael Bautista's phone number?
- The practice phone number listed in the NPPES registry for Michael Bautista is (212) 835-6920.
- Is Michael Bautista's NPI active?
- Yes — Michael Bautista's NPI (1053024117) is active in the NPPES registry as of the last update on 2023-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.