Otc Group LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

OTC GROUP LLC

Practice address

2792 Ocean Ave Unit 5
Brooklyn, NY 11229-4730

Phone

(516) 448-9089

NPI assigned

Sep 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Aella Shabuneuskaya

Title

Product Manager

Phone

(516) 448-9089

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1023625548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE UNIT 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE UNIT 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294730",
            "telephone_number": "516-448-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "SHABUNEUSKAYA",
        "authorized_official_first_name": "AELLA",
        "authorized_official_title_or_position": "PRODUCT MANAGER",
        "authorized_official_telephone_number": "516-448-9089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mail Order Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mail Order Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.