Active NPI
Lauren Tatarko
- Pharmacist
- Nanty Glo, PA
National Provider Identifier
1366966871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP445510
- Practice address
- 1049 Shoemaker St
Nanty Glo, PA 15943-1248 - Phone
- (814) 419-6717
- NPI assigned
- Jul 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Health Educator | 174H00000X | |||
| Pharmacist | 183500000X | RP445510 | PA | Primary |
Addresses
Primary practice location
1049 Shoemaker St
Nanty Glo, PA 15943-1248
Mailing address
1049 Shoemaker St
Nanty Glo, PA 15943-1248
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 |
|---|---|---|---|
| RP445510 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainline Pharmacy Ebensburg LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Mainline Pharmacy Ebensburg, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ebensburg, PA
- NPI 1184993040
Addiction (Substance Use Disorder)
-
- Community/Retail Pharmacy
- Nanty Glo, PA
- NPI 1235539800
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1366966871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 SHOEMAKER ST",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "159431248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 SHOEMAKER ST",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "159431248",
"telephone_number": "814-419-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATARKO",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP445510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanty Glo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.