Individual provider Active NPI

Tammy Lynn Fejfar, PHARM D

  • Pharmacist
  • Winona, MN
National Provider Identifier
1811390362
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13909-40 Issued in WI
Practice address
860 Mankato Ave
Winona, MN 55987-4867
Phone
(507) 452-6308
Fax
(507) 858-3236
NPI assigned
Sep 29, 2014
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13909-40 WI Primary

Addresses

Primary practice location

860 Mankato Ave
Winona, MN 55987-4867

Mailing address

860 Mankato Ave
Winona, MN 55987-4867
Phone (507) 452-6308

Other names 1

  • Mrs. Tamara Lynn Fejfar Other name

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
13909-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1811390362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874867",
            "telephone_number": "507-452-6308",
            "fax_number": "507-858-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874867",
            "telephone_number": "507-452-6308",
            "fax_number": "507-858-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEJFAR",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13909-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "FEJFAR",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PHARM D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.