Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OTTO NICHOLAS MINERVA, R.PH.
ActiveMR. OTTO NICHOLAS MINERVA, R.PH. is a Pharmacist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1932422144 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1932422144
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2010 (16.435480049936 yrs)
- Last Updated
- Mar 16, 2010
- License
-
025590 (NY)
Practice Information
- Address
-
407 HAWKINS AVENUESLATER PHARMACYLAKE RONKONKOMA, NY, 117794239Browse NY providers · Browse ZIP 11779
- Phone
- 6315881590
- Fax
- 6315887315
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MR. ANDREW WILLIAM CARADONA | RPH | 1821135567 |
| LYLE NORTON FINGER | RPH | 1689856015 |
| MRS. GAIL PHYLLIS LAMPERT | — | 1114109550 |
| MRS. KUNDAN A PATEL | — | 1144402272 |
| MR. SPIRO PETER MONIAS | RPH | 1013199140 |
| MR. FRANK DENNIS MONTALBANO | RPH | 1215106240 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.