Active NPI
Charles J Pantina, R.PH.
- Pharmacist
- South Ozone Park, NY
National Provider Identifier
1124346291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035530
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 035530 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockaway Blvd Pharmacy Inc | Current | Accepting new patients | |
| Subhan Pharmacy Inc. | Past | Accepting new patients | |
| Washington Heights Optical Inc. | Past | Accepting new patients | |
| Mak 92 Inc. | Past | Accepting new patients | |
| Heights Chemist Inc | Past | 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.
-
- Pharmacy
- South Ozone Park, NY
- NPI 1962246777
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1003586843
-
- Community/Retail Pharmacy
- South Richmond Hill, NY
- NPI 1801495775
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1033699012
-
- Pharmacist
- New York, NY
- NPI 1699833632
-
- Optometric Technician
- New York, NY
- NPI 1477635142
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.