Individual provider Active NPI

Tomas Zavada, RPH

  • Pharmacist
  • Bellows Falls, VT
National Provider Identifier
1194496141
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0117586 Issued in VT
Practice address
78 Atkinson St
Bellows Falls, VT 05101-1321
Phone
(802) 460-2634
Fax
(802) 460-2296
NPI assigned
Sep 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 033.0117586 VT Primary

Addresses

Primary practice location

78 Atkinson St
Bellows Falls, VT 05101-1321

Mailing address

78 Atkinson St
Bellows Falls, VT 05101-1321
Phone (802) 460-2634

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
033.0117586VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1194496141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATKINSON ST",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011321",
            "telephone_number": "802-460-2634",
            "fax_number": "802-460-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 ATKINSON ST",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011321",
            "telephone_number": "802-460-2634",
            "fax_number": "802-460-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADA",
        "first_name": "TOMAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0117586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellows Falls, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.