| NPI | 1063163889 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2022-01-13 |
| Last Updated | 2025-06-22 |
| Mailing Address | 215 Alexander Ave Howell, NJ 07731-8681 United States Phone: (347) 834-6643 📍 View Map |
| Primary Practice Address | 3185 Deming Way Middleton, WI 53562-1435 United States Phone: (608) 263-1292 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NJ | 00000 | N/A |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 183500000X – Pharmacist | NJ | 28RI04213500 |
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About NPI 1063163889
Tatiana Lastovkina is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063163889. The primary specialty listed is Pharmacist. The provider is located in Middleton, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-01-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063163889?
NPI 1063163889 belongs to Tatiana Lastovkina, a Pharmacist in Middleton, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063163889 active?
The current status of NPI 1063163889 in the NPPES registry is Active. The record was last updated on 2025-06-22.
What specialty is NPI 1063163889?
NPI 1063163889 is classified under the taxonomy Pharmacist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063163889?
You can verify NPI 1063163889 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063163889?
The primary practice address on file for NPI 1063163889 is 3185 Deming Way, Middleton, WI 53562-1435. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063163889 issued?
NPI 1063163889 was first issued (enumerated) on 2022-01-13. The NPPES record was last updated on 2025-06-22.
Practice Location Map
Tatiana Lastovkina is located at 3185 Deming Way, Middleton, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tatiana Lastovkina. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063163889. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacist | 28RI04213500 | NJ |