Independent Otc Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024831 Issued in NY

Legal business name

INDEPENDENT OTC CORPORATION

Practice address

1036 Main St
Holbrook, NY 11741-1606

Phone

(631) 585-8585

Fax

(631) 585-8038

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Frederick Ammirati

Title

Owner

Phone

(631) 585-8585

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FRIENDLY DRUGS Doing business as

Locations

Practitioners 4

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

• Thomas J Abbruscato, RPH

  • Pharmacist
  • Holbrook, NY
  • NPI 1366765281
  NPD (past)
• Michele Marie Cerny, PHARM.D.

  • Pharmacist
  • Holbrook, NY
  • NPI 1750358842
  NPD (past)
• Jonathan Sholder, PHARMD

  • Pharmacist
  • Holbrook, NY
  • NPI 1093090896
  NPD (past)
• Maria Vais, BS

  • Pharmacist
  • Holbrook, NY
  • NPI 1629393806
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1578660403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411606",
            "telephone_number": "631-585-8585",
            "fax_number": "631-585-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411606",
            "telephone_number": "631-585-8585",
            "fax_number": "631-585-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT OTC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "AMMIRATI",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-585-8585"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3300338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDLY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Frances Horton, LMSW
• Human Restoration Project Inc
• Thomas Charles Iavarone, P.T.
• Kashaf Iftikhar
• Nancy Inanir, NP
• Jo Ann Ingrao Ehlers
• Inj Medical, P.C.
• Nicole Innace
• Insight Therapy, Licensed Clinical Social Worker P.C.
• Internal Medicine and Geriatrics Associates PLLC

• Community/Retail Pharmacy in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.