Thomas Fedak, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03325600 Issued in NJ

Practice address

180 Passaic Ave
Fairfield, NJ 07004-3516

Phone

(800) 447-4791

Fax

(800) 266-1644

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2011.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1821371865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043516",
            "telephone_number": "800-447-4791",
            "fax_number": "800-266-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDAK",
        "first_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03325600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield Wellness and Physical Therapy, LLC
• Faith Home Healthcare LLC
• Faith Home Healthcare LLC
• Faith Home Healthcare LLC
• Faith Hospice Care LLC
• Fedcap Rehabilitation Services, Inc.
• Marjorie M Feldman, LCSW
• Alexis Ferguson, PSY.D.
• Gabriella Ferrovecchio, OTD
• Villo' Fiddler, PHARMD

• All providers in Fairfield, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.