Protera Specialty Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PROTERA SPECIALTY PHARMACY LLC

Practice address

100 N Centre Ave Ste 303
Rockville Centre, NY 11570-6300

Phone

(347) 378-6459

Fax

(718) 732-2906

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Tyler Neuberg

Title

President

Phone

(516) 770-6979

Specialties & licenses 1

Addresses

Tax ID family

Protera Specialty Pharmacy LLC2 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.

• Protera Specialty Pharmacy LLC

  • Specialty Pharmacy
  • Rockville Centre, NY
  • NPI 1437946894
  NPD tax ID

Locations

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1538085998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE STE 303",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706300",
            "telephone_number": "347-378-6459",
            "fax_number": "718-732-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE STE 303",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706300",
            "telephone_number": "347-378-6459",
            "fax_number": "718-732-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTERA SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "NEUBERG",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-770-6979"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialty Pharmacy in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.