Active NPI
Zachary Fettes, PHARM.D RPH
- Pharmacist
- Okemos, MI
National Provider Identifier
1023447240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037053
- Practice address
- 2055 W Grand River Ave
Okemos, MI 48864-1706 - Phone
- (517) 349-2930
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302037053 | MI | Primary |
Addresses
Primary practice location
2055 W Grand River Ave
Okemos, MI 48864-1706
Mailing address
2916 Trappers Cove TRL Apt 2B
Lansing, MI 48910-8499
Phone (269) 986-2005
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037053 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1023447240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 TRAPPERS COVE TRL APT 2B",
"city": "LANSING",
"state": "MI",
"postal_code": "489108499",
"telephone_number": "269-986-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W GRAND RIVER AVE",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641706",
"telephone_number": "517-349-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTES",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PHARM.D RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.