Otc Group LLC
NPI 1023625548ActiveOrganization· Pharmacy, Mail Order Pharmacy· Brooklyn, NY
Pharmacy, Mail Order Pharmacy in Brooklyn, New York, registered in NPPES in September 2020. The authorized official on file is Aella Shabuneuskaya, Product Manager.
Overview
| NPI | 1023625548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2020 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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