Mary E Takhtovich, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

055066 Issued in NY

Practice address

2760 Broadway
New York, NY 10025-2805

Phone

(212) 678-7893

NPI assigned

Sep 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1609183334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 STONEHURST DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702917",
            "telephone_number": "551-587-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252805",
            "telephone_number": "212-678-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHTOVICH",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toshiki Takenouchi, M.D.
• Takeshige Medical PC
• Kumiko Takeshima Asiedu
• Kenichi Takeshita, M.D.
• Hidemi Takezawa, D.D.S.
• Sara Lorenz Taki I, M.D.
• Anna K Takos, DMD
• Jeffery Takos, MD
• Eric Takoushian, MD
• Tal Dagan MD PC

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.