Zachary David Fettman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03438896 Issued in OH

Practice address

6046 Whipple Ave NW
North Canton, OH 44720-7616

Phone

(330) 305-9075

Fax

(330) 305-9176

NPI assigned

Jan 10, 2021

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davies Pharmacy, Inc

  • Pharmacy
  • Canton, OH
  • NPI 1144224049
  NPD

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1013505528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207616",
            "telephone_number": "330-305-9075",
            "fax_number": "330-305-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207616",
            "telephone_number": "330-305-9075",
            "fax_number": "330-305-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTMAN",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03438896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "03438896",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferguson Family Chiropractic and Wellness Center, LLC (Brian P. Ferguson)
• Allison Ferguson, CNP
• Amanda Nicole Ferguson, D.C.
• Susan Ferguson, RPH
• Vanessa Marie Fessenden, BCBA
• Adrienne Fifer, OTR/L
• Eugene Fink Jr., PTA 0621
• Jennifer Ann Finley, MPT
• Landon Finley
• Lori J Finley, APRN

• Pharmacist in North Canton, OH
• Providers in North Canton, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.