Active NPI
Nancy Ann Tages, RP
- Pharmacist
- Hazlet, NJ
National Provider Identifier
1215545439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI018311100
- Practice address
- 2874 Highway 35
Hazlet, NJ 07730-1504 - Phone
- (732) 264-3310
- NPI assigned
- Jul 14, 2020
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI018311100 | NJ | Primary |
Addresses
Primary practice location
2874 Highway 35
Hazlet, NJ 07730-1504
Mailing address
2874 Highway 35
Hazlet, NJ 07730-1504
Phone (732) 264-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4290101 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ss | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI018311100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazlet Pharmacy Inc. | Current | Accepting new patients |
Locations
2874 Highway 35
Hazlet, NJ 07730
Phone (732) 264-3310
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Hazlet, NJ
- NPI 1144265695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1215545439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 HIGHWAY 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301504",
"telephone_number": "732-264-3310",
"fax_number": "732-264-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 HIGHWAY 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301504",
"telephone_number": "732-264-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGES",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI018311100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4290101",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ss",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ss",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ss",
"address_1": "2874 Highway 35",
"city": "Hazlet",
"state": "NJ",
"country_code": "US",
"postal_code": "077301504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.