Active NPI
Brandon Ottenschot
- Pharmacist
- Honeoye Falls, NY
National Provider Identifier
1558144113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070590
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070590 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | 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.