Individual provider Active NPI

Frank Lewis Fariello, PHARM D

  • Pharmacist
  • Sea Girt, NJ
National Provider Identifier
1043437536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02757100 Issued in NJ
Practice address
2175 Highway 35
Sea Girt, NJ 08750-1009
Phone
(732) 974-2929
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02757100 NJ Primary

Addresses

Primary practice location

2175 Highway 35
Sea Girt, NJ 08750-1009

Mailing address

2607 Monmouth Blvd
Wall Township, NJ 07719-4534
Phone (732) 890-5804

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
28RI02757100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shorevax LLC Pharmacist Current Accepting new patients

Locations

2175 Highway 35
Sea Girt, NJ 08750
Phone (732) 974-0009

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043437536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 MONMOUTH BLVD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194534",
            "telephone_number": "732-890-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501009",
            "telephone_number": "732-974-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIELLO",
        "first_name": "FRANK",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02757100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.