Individual provider Active NPI

Tatyana N Orlova, RPH

  • Pharmacist
  • Jamesburg, NJ
National Provider Identifier
1770825309
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03526800 Issued in NJ
Practice address
333 Forsgate Dr
Suite 104
Jamesburg, NJ 08831-1567
Phone
(732) 641-2664
Fax
(732) 641-2669
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03526800 NJ Primary

Addresses

Primary practice location

333 Forsgate Dr
Suite 104
Jamesburg, NJ 08831-1567

Mailing address

333 Forsgate Dr
Suite 104
Jamesburg, NJ 08831-1567
Phone (732) 641-2664

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

LicenseStateTypeSpecialty
28RI03526800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Point of Care Pharmacy CurrentSince Mar 19, 2023 Accepting new patients

Locations

333 Forsgate Dr
Ste 104
Jamesburg, NJ 08831
Phone (732) 641-2664

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1770825309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FORSGATE DR",
            "address_2": "SUITE 104",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311567",
            "telephone_number": "732-641-2664",
            "fax_number": "732-641-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FORSGATE DR",
            "address_2": "SUITE 104",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311567",
            "telephone_number": "732-641-2664",
            "fax_number": "732-641-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOVA",
        "first_name": "TATYANA",
        "middle_name": "N",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03526800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.