Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Otto Nicholas Minerva, RPH

Individual provider Pharmacist · NPI 1932422144

Mr. Otto Nicholas Minerva, RPH is a Pharmacist in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

407 Hawkins Avenue Slater Pharmacy
Lake Ronkonkoma, NY 11779-4239
Phone: (631) 588-1590
Fax: (631) 588-7315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 025590 (NY)

Record details

NPI number1932422144
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 3, 2010
Last updated in NPPESMarch 16, 2010

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