Active NPI
Toni Lan Jaravata, RPH
- Pharmacist
- Brick, NJ
National Provider Identifier
1760757603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02393000
- Practice address
- 465 Route 70
Brick, NJ 08723-4049 - Phone
- (732) 262-6309
- NPI assigned
- Mar 10, 2012
- 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 | 28RI02393000 | NJ | Primary |
Addresses
Primary practice location
465 Route 70
Brick, NJ 08723-4049
Mailing address
331 Richmond Ave
PT Pleasant Beach, NJ 08742-2548
Phone (732) 903-7274
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02393000 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331337600000",
"number": "1760757603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 RICHMOND AVE",
"city": "PT PLEASANT BEACH",
"state": "NJ",
"postal_code": "087422548",
"telephone_number": "732-903-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ROUTE 70",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234049",
"telephone_number": "732-262-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAVATA",
"first_name": "TONI",
"middle_name": "LAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-10",
"last_updated": "2012-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02393000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.