Active NPI
Charles Rotella, RPH
- Pharmacist
- Inwood, NY
National Provider Identifier
1043598295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I033531
- Practice address
- 591 Burnside Ave
Inwood, NY 11096-1300 - Phone
- (516) 371-2828
- Fax
- (516) 371-7814
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I033531 | NY | Primary |
Addresses
Primary practice location
591 Burnside Ave
Inwood, NY 11096-1300
Mailing address
591 Burnside Ave
Inwood, NY 11096-1300
Phone (516) 371-2828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I033531 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1043598295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 BURNSIDE AVE",
"city": "INWOOD",
"state": "NY",
"postal_code": "110961300",
"telephone_number": "516-371-2828",
"fax_number": "516-371-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 BURNSIDE AVE",
"city": "INWOOD",
"state": "NY",
"postal_code": "110961300",
"telephone_number": "516-371-2828",
"fax_number": "516-371-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTELLA",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I033531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.