Active NPI
Louis Otremba, RPH
- Pharmacist
- Binghamton, NY
National Provider Identifier
1811096829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31881
- Practice address
- 1188 Vestal Ave
Binghamton, NY 13903-1612 - Phone
- (607) 723-7585
- NPI assigned
- Sep 22, 2006
- 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 | 31881 | NY | Primary |
Addresses
Primary practice location
1188 Vestal Ave
Binghamton, NY 13903-1612
Mailing address
537 Echo Rd
Vestal, NY 13850-5203
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31881 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811096829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 ECHO RD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138505203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 VESTAL AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031612",
"telephone_number": "607-723-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTREMBA",
"first_name": "LOUIS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "31881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.