WILLIAM FAFENDYK (NPI# 1437434628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437434628 |
| Entity Type | Individual |
| Full Name | WILLIAM FAFENDYK |
| Practice Address |
1717 Milton Ave Janesville WI 53545-0884 |
| Practice Telephone | 6087542278 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | WI1517-40 | WI | Pharmacy Service Providers |
| Street Address |
1717 MILTON AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-0884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376442 | Walgreen Co | Pharmacy | 1717 Milton Ave, Janesville, WI 53545-0884 | 2006-07-29 |
| 1881228195 | Amanda Houghton | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2020-02-25 |
| 1235763541 | Rachael Rebecca Thruman | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2020-02-25 |
| 1578197992 | Treashure Wade | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2020-02-25 |
| 1639703275 | Briana Oestreicher | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2020-02-22 |
| 1144591637 | Lori Olson | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2012-01-16 |
| 1740557701 | Connie M Nelson | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-11-18 |
| 1164799342 | Sheila Williams | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-11-16 |
| 1972888048 | Jamie Murray | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-10-20 |
| 1982989182 | Jesse Meserole | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130755 | Seung-ri Lee | Pharmacist | 1700 Milton Ave, Janesville, WI 53545-0833 | 2020-03-24 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1295092211 | Elizabeth Jane Kyburz | Pharmacist | 2233 Old Humes Rd, Janesville, WI 53545-0258 | 2012-04-15 |
| 1477753051 | Brenda Lee Jacobs | Pharmacist | 2500 Us Hwy 14, Janesville, WI 53545-0309 | 2007-07-20 |
| 1154549657 | Dawn M. Recker | Pharmacist | 1501 Creston Park Dr, Janesville, WI 53545-1151 | 2007-04-23 |
| 1881811651 | Thomas Ward | Pharmacist | 726 Somerset Dr, Janesville, WI 53546-1837 | 2007-04-20 |
| 1063564540 | Erin Leigh Smerchek | Pharmacist | 21 S Jackson St, Janesville, WI 53548-3859 | 2007-01-17 |
| 1013939016 | Ghee Syn Ong | Pharmacist | 3800 Deerfield Drive, Janesville, WI 53545 | 2006-07-25 |
| 1154929891 | Melanie Butler | Pharmacist | 3900 Deerfield Dr, Janesville, WI 53546-4431 | 2020-10-14 |
| 1225636137 | Sara Mathews | Pharmacist | 3900 Deerfield Dr, Janesville, WI 53546-4431 | 2020-10-13 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.