Active NPI
Benjamin Otero-Salvatella Jr., PHARM D
- Pharmacist
- Haverhill, FL
National Provider Identifier
1821474883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53761
- Practice address
- 1010 N Military TRL
Haverhill, FL 33409-6011 - Phone
- (561) 471-1655
- NPI assigned
- Jul 31, 2015
- 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 | PS53761 | FL | Primary |
Addresses
Primary practice location
1010 N Military TRL
Haverhill, FL 33409-6011
Mailing address
134 Van Gogh Way
Royal Palm Beach, FL 33411-1580
Phone (561) 236-6046
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS53761 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1821474883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 VAN GOGH WAY",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111580",
"telephone_number": "561-236-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N MILITARY TRL",
"city": "HAVERHILL",
"state": "FL",
"postal_code": "334096011",
"telephone_number": "561-471-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO-SALVATELLA",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.