Individual provider Active NPI

Terrence Naoto Otani

  • Pharmacist
  • Dublin, OH
National Provider Identifier
1497436901
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03316143 Issued in OH
Practice address
6185 Shamrock CT Ste a
Dublin, OH 43016-1275
Phone
(614) 647-5115
Fax
(380) 204-7905
NPI assigned
Jul 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03316143 OH Primary

Addresses

Primary practice location

6185 Shamrock CT Ste a
Dublin, OH 43016-1275

Mailing address

6185 Shamrock CT Ste a
Dublin, OH 43016-1275
Phone (614) 647-5115

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

State licenses

LicenseStateTypeSpecialty
03316143OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1497436901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 SHAMROCK CT STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161275",
            "telephone_number": "614-647-5115",
            "fax_number": "380-204-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 SHAMROCK CT STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161275",
            "telephone_number": "614-647-5115",
            "fax_number": "380-204-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANI",
        "first_name": "TERRENCE",
        "middle_name": "NAOTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03316143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.