Individual provider Active NPI

Lauren Altinok, PHARMD

  • Pharmacist
  • Ledgewood, NJ
National Provider Identifier
1811591126
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03796100 Issued in NJ
Practice address
1105 Route 46
Ledgewood, NJ 07852-9748
Phone
(973) 927-4662
Fax
(973) 927-4668
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03796100 NJ Primary

Addresses

Primary practice location

1105 Route 46
Ledgewood, NJ 07852-9748

Mailing address

1105 Route 46
Ledgewood, NJ 07852-9748
Phone (973) 927-4662

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03796100NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1811591126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ROUTE 46",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529748",
            "telephone_number": "973-927-4662",
            "fax_number": "973-927-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ROUTE 46",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529748",
            "telephone_number": "973-927-4662",
            "fax_number": "973-927-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTINOK",
        "first_name": "LAUREN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03796100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.