Individual provider Active NPI

Brandon Ottenschot

  • Pharmacist
  • Honeoye Falls, NY
National Provider Identifier
1558144113
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070590 Issued in NY
Practice address
135 W Main St
Honeoye Falls, NY 14472-1103
Phone
(585) 624-3500
Fax
(585) 624-3051
NPI assigned
Aug 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070590 NY Primary

Addresses

Primary practice location

135 W Main St
Honeoye Falls, NY 14472-1103

Mailing address

135 W Main St
Honeoye Falls, NY 14472-1103
Phone (585) 624-3500

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
070590NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 8, 2025 Accepting new patients
Walgreen Co CurrentSince Jan 4, 2026 Accepting new patients
Walgreen Eastern Co Inc PastSince Aug 1, 2023 Accepting new patients
Walgreen Co PastSince Sep 8, 2025 Accepting new patients
Walgreen Eastern Co Inc PastSince Aug 1, 2023 Accepting new patients

Locations

3948 State Route 281
Cortland, NY 13045
Phone (607) 756-8489

4366 Buffalo Rd
North Chili, NY 14514
Phone (585) 594-5689

Organizations & group practices 5

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1558144113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721103",
            "telephone_number": "585-624-3500",
            "fax_number": "585-624-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721103",
            "telephone_number": "585-624-3500",
            "fax_number": "585-624-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENSCHOT",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honeoye Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.