Active NPI
Tatiana Jablokov
- Pharmacist
- New Hope, PA
National Provider Identifier
1336560630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030417L
- Practice address
- 6542 Logan SQ Ste H
New Hope, PA 18938-1811 - Phone
- (215) 862-9228
- NPI assigned
- Jan 3, 2014
- Last updated
- Jan 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | RP030417L | PA | Primary |
Addresses
Primary practice location
6542 Logan SQ Ste H
New Hope, PA 18938-1811
Mailing address
6542 Logan SQ Ste H
New Hope, PA 18938-1811
Phone (215) 862-9228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88 | Other | PA | PHARMACY |
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 |
|---|---|---|---|
| RP030417L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1336560630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6542 LOGAN SQ STE H",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189381811",
"telephone_number": "215-862-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6542 LOGAN SQ STE H",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189381811",
"telephone_number": "215-862-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLOKOV",
"first_name": "TATIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030417L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "88",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hope, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.