IndividualActive
Otto Minerva, R.PH.
NPI 1932422144 · Pharmacist · Lake Ronkonkoma, NY
Otto Minerva, R.PH. is a Pharmacist provider in Lake Ronkonkoma, NY (NPI 1932422144).
Provider details
- NPI number
- 1932422144
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- 025590 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 Hawkins Avenue
Slater Pharmacy
Lake Ronkonkoma, NY 11779-4239
Phone: (631) 588-1590
Fax: (631) 588-7315
Street-level locationGet directions
Mailing address
407 Hawkins Avenue
Lake Ronkonkoma, NY 11779-4239
Registry dates
- Enumerated
- 2010-03-03
- Last updated
- 2010-03-16
Frequently asked questions
- What is Otto Minerva's NPI number?
- Otto Minerva's National Provider Identifier (NPI) is 1932422144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Otto Minerva's specialty?
- Otto Minerva is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Otto Minerva located?
- Otto Minerva's practice location on file with NPPES is 407 Hawkins Avenue, Lake Ronkonkoma, NY 11779-4239.
- What is Otto Minerva's phone number?
- The practice phone number listed in the NPPES registry for Otto Minerva is (631) 588-1590.
- Is Otto Minerva's NPI active?
- Yes — Otto Minerva's NPI (1932422144) is active in the NPPES registry as of the last update on 2010-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.