Samuel Dudley Bottaro II, RPH, DPH
NPI 1477701480ActiveIndividual· Pharmacist· Bellevue, NE
Pharmacist (RPH, DPH) in Bellevue, Nebraska, licensed in NE, OK and IA, with an NPI issued in September 2008.
Overview
| NPI | 1477701480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH, DPH |
| Sole proprietor | No |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Sep 3, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 8331 | NE |
| Pharmacist | 183500000X | 12328 | OK |
| Pharmacist | 183500000X | 18954 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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