Organization Active NPI

Trotta's West Street Pharmacy Inc.

  • Community/Retail Pharmacy
  • Harrison, NY
National Provider Identifier
1275695082
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TROTTA'S WEST STREET PHARMACY INC.
Practice address
15 Halstead Ave
Harrison, NY 10528-4002
Phone
(914) 835-1125
Fax
(914) 835-3943
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. Daniel Nmi Molino, R.PH.
Title
President
Phone
(914) 835-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

15 Halstead Ave
Harrison, NY 10528-4002

Mailing address

15 Halstead Ave
Harrison, NY 10528-4002
Phone (914) 835-1125

Other identifiers 1

IdentifierTypeStateIssuer
01999164MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930077160 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7214055060 Practice locations: Harrison, NY
O20160316000467 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7214055060 Practice locations: Harrison, NY
O20220930001295 NY Part B Supplier - Pharmacy 7214055060 Practice locations: Harrison, NY

National Provider Directory

National Provider Directory
Tax ID family
Trotta's West Street Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

15 Halstead Ave
Harrison, NY 10528
Phone (914) 835-1124

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1275695082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HALSTEAD AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284002",
            "telephone_number": "914-835-1125",
            "fax_number": "914-835-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HALSTEAD AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284002",
            "telephone_number": "914-835-1125",
            "fax_number": "914-835-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROTTA'S WEST STREET PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MOLINO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-835-1125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.