Organization Active NPI

Otc Mobile Stores

  • Non-Pharmacy Dispensing Site
  • Bronx, NY
National Provider Identifier
1790168656
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
OTC MOBILE STORES
Practice address
600 E 132ND St
Bronx, NY 10454-4639
Phone
(844) 682-7867
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Steven Rivera
Title
Ceo
Phone
(844) 682-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

600 E 132ND St
Bronx, NY 10454-4639

Mailing address

600 E 132ND St
Bronx, NY 10454-4639
Phone (844) 682-7867

National Provider Directory

National Provider Directory

Locations

600 E 132nd St
Bronx, NY 10454
Phone (844) 682-7867

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1790168656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 132ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544639",
            "telephone_number": "844-682-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 132ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544639",
            "telephone_number": "844-682-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTC MOBILE STORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-682-7867"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.