Olive Tree Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029889 Issued in NY

Legal business name

OLIVE TREE PHARMACY

Practice address

106 Ridge St
New York, NY 10002-2554

Phone

(646) 368-9960

Fax

(646) 368-9861

NPI assigned

Dec 1, 2009

Organization subpart

No

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

Authorized official

Name

Samir Hamtini

Title

Owner

Phone

(646) 368-9960

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Olive Tree Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1811225949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RIDGE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022554",
            "telephone_number": "646-368-9960",
            "fax_number": "646-368-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022554",
            "telephone_number": "646-368-9960",
            "fax_number": "646-368-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "HAMTINI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-368-9960"
    },
    "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": "029889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3228526",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Del'Lana Olivares, LMSW
• Joane Pauline Bodota Olivares
• Maryjane Olivares, LMHC
• Monique Olivares, P.A.
• Rosely Sulin Olivares
• Robyne Olive, LMSW
• Cristiano Oliveira, M.D.
• Vanessa Sousa Oliveira, PA-C, MS, MPH
• Alejandra Olivencia
• Jessica Olivencia, LPN

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Mar 12, 2014; 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.