MR. OTTO NICHOLAS MINERVA R.PH.
NPI 1932422144
Pharmacist in Lake Ronkonkoma, NY

Active since March 03, 2010
407 HAWKINS AVENUE, SLATER PHARMACY, LAKE RONKONKOMA, NY 11779(631) 588-1590(631) 588-7315 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Otto Nicholas Minerva R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OTTO NICHOLAS MINERVA R.PH. (NPI 1932422144) is an individual pharmacist in Lake Ronkonkoma, New York, licensed in New York (025590) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1932422144
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. OTTO NICHOLAS MINERVACredential: R.PH.
Location Address407 HAWKINS AVENUE, SLATER PHARMACYLake Ronkonkoma, NY 11779-4239
Mailing Address407 Hawkins AvenueLake Ronkonkoma, NY 11779-4239 · (631) 588-1590 · Fax (631) 588-7315
Fax(631) 588-7315
Sole ProprietorNo
Enumeration DateMarch 3, 2010
Last NPPES UpdateMarch 16, 2010
NPI 1932422144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 025590
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
407 HAWKINS AVENUE, Lake Ronkonkoma, NY 11779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otto Minerva's NPI number?

The NPI number for Otto Minerva is 1932422144. It was assigned to this individual provider in the NPPES registry on March 3, 2010.

Where is Otto Minerva located?

Otto Minerva practices at 407 Hawkins Avenue Slater Pharmacy, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-1590.

What is Otto Minerva's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Otto Minerva was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.