Individual provider Active NPI

Heather Fitzgerald, RPH

  • Pharmacist
  • Bethlehem, PA
National Provider Identifier
1114694759
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP038196L Issued in PA
Practice address
5000 Wegmans Dr
Bethlehem, PA 18017-9409
Phone
(610) 317-1345
Fax
(610) 317-1369
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP038196L PA Primary

Addresses

Primary practice location

5000 Wegmans Dr
Bethlehem, PA 18017-9409

Mailing address

5000 Wegmans Dr
Bethlehem, PA 18017-9409
Phone (610) 317-1345

Other identifiers 1

IdentifierTypeStateIssuer
RP038196LOtherPASTATE LICENSE

Other names 1

  • Heather Doklan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pharmacy.store097@wegmans.com Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP038196LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. PastSince Aug 29, 2021 Accepting new patients
Wegmans Food Markets, Inc. PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1114694759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WEGMANS DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179409",
            "telephone_number": "610-317-1345",
            "fax_number": "610-317-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WEGMANS DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179409",
            "telephone_number": "610-317-1345",
            "fax_number": "610-317-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "HEATHER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038196L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP038196L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy.store097@wegmans.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 Wegmans Dr",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180179409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DOKLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.