Ian Fitzgerald, PHARMD
Individual provider Active NPI Pharmacist · Fort Harrison, MT
NPI 1083379374 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1083379374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79945 (MT)
- Practice address
- 3687 Veterans Dr
Fort Harrison, MT 59636-9700 - Phone
- (406) 461-2718
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79945 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79945 | MT | Yes |
Addresses
Primary practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Mailing address
212 Blake St
Helena, MT 59601-4373
Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.