Individual provider Active NPI

Nancy Ann Tages, RP

  • Pharmacist
  • Hazlet, NJ
National Provider Identifier
1215545439
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI018311100 Issued in NJ
Practice address
2874 Highway 35
Hazlet, NJ 07730-1504
Phone
(732) 264-3310
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4290101MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
28RI018311100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazlet Pharmacy Inc. CurrentSince Jun 9, 2024 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.

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.

Verify at the official NPI Registry.