Active NPI
Cynthia Ann Fetzner, PHARM D
- Pharmacist
- Pinehurst, NC
National Provider Identifier
1144555780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20263
- Practice address
- 185 Kingswood Cir
Pinehurst, NC 28374 - Phone
- (910) 410-3710
- Fax
- (910) 410-9041
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- Sex
- Female
- 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 | 20263 | NC | Primary |
Addresses
Primary practice location
185 Kingswood Cir
Pinehurst, NC 28374
Mailing address
185 Kingswood Cir
Pinehurst, NC 28374-6949
Phone (910) 410-3710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0775363 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20263 | NC | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1144555780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 KINGSWOOD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283746949",
"telephone_number": "910-410-3710",
"fax_number": "910-410-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 KINGSWOOD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-410-3710",
"fax_number": "910-410-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETZNER",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0775363",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
- Margaret Felt
- Lisa Felton, RN
- Patrick John Feron, PA-C
- Kelly Ferran
- Michele John Ferrelli, M.S. OTR/L
- FHPG, LLC (FirstHealth Moore Diabetes Prevention Program)
- FHPG, LLC (FirstHealth Moore Regional Hospital Professional Services)
- FHPG, LLC (FirstHealth Family Medicine-Pinehurst)
- Catia Fields
- Monica Rochelle Fields
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.