Brightwater Laboratories, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRIGHTWATER LABORATORIES, INC.

Practice address

2127 Lakeland Ave Unit 2
Ronkonkoma, NY 11779-7431

Phone

(516) 676-1135

Fax

(516) 676-1140

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Donald James Cantalino, R.PH.

Title

Owner

Phone

(516) 676-1135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1669944195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 LAKELAND AVE UNIT 2",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797431",
            "telephone_number": "516-676-1135",
            "fax_number": "516-676-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 LAKELAND AVE UNIT 2",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797431",
            "telephone_number": "516-676-1135",
            "fax_number": "516-676-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWATER LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "CANTALINO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-676-1135",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bottizer Radiological PC
• Maryanne Bounaparte, LMT
• Tailer Boutin
• Amanda Brett, MHC-LP
• Sebastien Bright
• Emily Brinkworth, R.N.
• Maritza Elida Brown - Igwe, R.N
• Gioconda Brown, LPN
• Malissa Brown
• Sarah Richards Brown, LMSW

• Community/Retail Pharmacy in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Dec 21, 2018; 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.