OTC GROUP LLC (NPI# 1023625548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023625548 |
| Entity Type | Organization |
| Organization Name | OTC GROUP LLC |
| Practice Address |
2792 Ocean Ave Unit 5 Brooklyn NY 11229-4730 |
| Practice Telephone | 5164489089 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | MRS. AELLA SHABUNEUSKAYA (PRODUCT MANAGER) |
| Authorized Official Telephone | 5164489089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OTC GROUP LLC | 2792 Ocean Ave Unit 5, Brooklyn, New York 11229 |
| Street Address |
2792 OCEAN AVE UNIT 5 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437351384 | New York Diabetic Supply | Pharmacy | 958 - E 2nd Street, Brooklyn, MA 11230-2610 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116996 | West 35th Apothecary LLC | Pharmacy | 147 W 35th St Frnt 2, New York, NY 10001-2110 | 2018-08-30 |
| 1760961262 | Detronet.com LLC | Pharmacy | 2632 Adam Clayton Powell Jr Blvd, New York, NY 10039-2601 | 2018-08-07 |
| 1710371026 | Blenheim Pharmacal, Inc. | Pharmacy | 119 Creamery Rd, North Blenheim, NY 12131-1613 | 2015-03-25 |
| 1932529823 | Your Care Pharmacy Corp | Pharmacy | 2492 Webster Ave, Bronx, NY 10458-5509 | 2014-04-18 |
| 1336217249 | Hampton Home Care Inc | Pharmacy | 16 Hampton Rd, Southampton, NY 11968-4930 | 2006-11-30 |
| 1154438877 | Proact Pharmacy Services, Inc. | Pharmacy | 1226 Us Highway 11, Gouverneur, NY 13642-1401 | 2006-08-25 |
| 1871606152 | Proscript Pharmacy LLC. | Pharmacy | 2556 Arthur Kill Rd, Staten Island, NY 10309-1226 | 2006-08-17 |
| 1639194459 | M. and S. Drugs, Inc | Pharmacy | 3012 36th Ave, Long Island City, NY 11106-2315 | 2006-07-13 |
| 1346283520 | Affordable Rx, Inc. | Pharmacy | 177 Rockaway Ave, Valley Stream, NY 11580-5823 | 2006-06-14 |
| 1972060051 | Merrick Blvd Pharmacy Inc | Pharmacy | 10950 Merrick Blvd, Jamaica, NY 11433-3039 | 2019-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.