Individual provider Active NPI

Tatyana Levik, RPH

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1861670796
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050801 Issued in NY
Practice address
387 Colony Ave
Staten Island, NY 10306-5946
Phone
(718) 667-5139
Fax
(718) 332-2971
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050801 NY Primary

Addresses

Primary practice location

387 Colony Ave
Staten Island, NY 10306-5946

Mailing address

387 Colony Ave
Staten Island, NY 10306-5946
Phone (718) 667-5139

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
050801NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tla Pharmacy Inc Current Accepting new patients

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1861670796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 COLONY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065946",
            "telephone_number": "718-667-5139",
            "fax_number": "718-332-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 COLONY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065946",
            "telephone_number": "718-667-5139",
            "fax_number": "718-332-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIK",
        "first_name": "TATYANA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.