Active NPI
Thomas Madej
- Pharmacist
- Pennsville, NJ
National Provider Identifier
1164023206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RJ08222
- Practice address
- 709 S Broadway
Pennsville, NJ 08070-9655 - Phone
- (856) 935-0008
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RJ08222 | NJ | Primary |
Addresses
Primary practice location
709 S Broadway
Pennsville, NJ 08070-9655
Mailing address
2629 E Madison St
Philadelphia, PA 19134-5201
Phone (121) 598-3039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RJ08222 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1164023206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 E MADISON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345201",
"telephone_number": "121-598-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S BROADWAY",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080709655",
"telephone_number": "856-935-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEJ",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ08222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.