Active NPIIndividual providerSole proprietor

Tatiana Lastovkina

Pharmacist in Middleton, Wisconsin

NPI Number1063163889
Practice location
3185 Deming Way, Middleton, WI 53562-1435
Fax
—
Last updated
June 22, 2025

Tatiana Lastovkina is a Pharmacist based in Middleton, WI. Tatiana Lastovkina practices in Middleton, WI. The NPI Number for Tatiana Lastovkina is 1063163889 and holds a License No. 28RI04213500 (NJ). The current practice location address for Tatiana Lastovkina is 3185 Deming Way, Middleton, WI 53562-1435 and can be reached out via phone at 608-263-1292.

Provider Profile Details

NPI Number
1063163889
Provider Name
Tatiana Lastovkina
Provider Entity Type
Individual
Gender
Female
Address
3185 Deming Way, Middleton, WI 53562-1435
Phone Number
608-263-1292
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2022
Last Update Date
June 22, 2025
Certification Date
June 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3185 Deming Way
Middleton, WI 53562-1435
Zip
53562-1435
Phone Number
608-263-1292
Middleton, WI 53562Get directions →

Provider Business Mailing Address Details

Address
215 Alexander Ave
Howell, NJ 07731-8681
City
Howell
State
NJ
Zip
07731-8681
Phone Number
347-834-6643

License Information

License Number
28RI04213500
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tatiana Lastovkina?

The NPI number of Tatiana Lastovkina is 1063163889. It was assigned on January 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Tatiana Lastovkina?

Tatiana Lastovkina is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04213500.

Where does Tatiana Lastovkina practice?

The practice location is 3185 Deming Way, Middleton, WI 53562-1435. The office can be reached at 608-263-1292 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063163889 directly on the NPPES registry website.

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