Active NPIIndividual provider

Eleonora Takhtaganov

Pharmacist in Middletown, New Jersey

NPI Number1912211244
Practice location
1447 Hwy 35, Middletown, NJ 07748-2030
Fax
—
Last updated
July 28, 2010

Eleonora Takhtaganov is a Pharmacist based in Middletown, NJ. Eleonora Takhtaganov practices in Middletown, NJ. The NPI Number for Eleonora Takhtaganov is 1912211244 and holds a License No. 28rt03030500 (NJ). The current practice location address for Eleonora Takhtaganov is 1447 Hwy 35, Middletown, NJ 07748-2030 and can be reached out via phone at 732-671-4234.

Provider Profile Details

NPI Number
1912211244
Provider Name
Eleonora Takhtaganov
Provider Entity Type
Individual
Gender
Female
Address
1447 Hwy 35, Middletown, NJ 07748-2030
Phone Number
732-671-4234
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2010
Last Update Date
July 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1447 Hwy 35
Middletown, NJ 07748-2030
Zip
07748-2030
Phone Number
732-671-4234
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
33 Capica CT
Laurence Harbor, NJ 08879-2911
City
Laurence Harbor
State
NJ
Zip
08879-2911

License Information

License Number
28rt03030500
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 Eleonora Takhtaganov?

The NPI number of Eleonora Takhtaganov is 1912211244. It was assigned on July 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Eleonora Takhtaganov?

Eleonora Takhtaganov is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28rt03030500.

Where does Eleonora Takhtaganov practice?

The practice location is 1447 Hwy 35, Middletown, NJ 07748-2030. The office can be reached at 732-671-4234 (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 1912211244 directly on the NPPES registry website.

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