Individual provider Active NPI

Charles J Pantina, R.PH.

  • Pharmacist
  • South Ozone Park, NY
National Provider Identifier
1124346291
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035530 Issued in NY
Practice address
14102 Rockaway Blvd
South Ozone Park, NY 11436-1440
Phone
(718) 374-3121
Fax
(718) 674-6038
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 035530 NY Primary

Addresses

Primary practice location

14102 Rockaway Blvd
South Ozone Park, NY 11436-1440

Mailing address

14102 Rockaway Blvd
South Ozone Park, NY 11436-1440
Phone (718) 374-3121

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

LicenseStateTypeSpecialty
035530NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockaway Blvd Pharmacy Inc CurrentSince Jan 12, 2025 Accepting new patients
Subhan Pharmacy Inc. PastSince Sep 1, 2023 Accepting new patients
Washington Heights Optical Inc. PastSince Oct 1, 2022 Accepting new patients
Mak 92 Inc. PastSince May 1, 2022 Accepting new patients
Heights Chemist Inc PastSince Oct 1, 2022 Accepting new patients
Tower Chemists Inc Pharmacist Past Accepting new patients

Locations

14102 Rockaway Blvd
South Ozone Park, NY 11436
Phone (718) 374-3121

Organizations & group practices 6

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1124346291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361440",
            "telephone_number": "718-374-3121",
            "fax_number": "718-674-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361440",
            "telephone_number": "718-374-3121",
            "fax_number": "718-674-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTINA",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.