Individual provider Active NPI

Rebecca Marie Fitzpatrick, PHARMD

  • Pharmacist
  • Boone, IA
National Provider Identifier
1144725193
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23038 Issued in IA
Practice address
1111 8TH St
Boone, IA 50036-2925
Phone
(515) 432-1304
NPI assigned
Mar 29, 2018
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.300742 IL
Pharmacist 183500000X 19252-40 WI
Pharmacist 183500000X 23038 IA Primary

Addresses

Primary practice location

1111 8TH St
Boone, IA 50036-2925

Mailing address

7755 Trails Edge Dr
Dubuque, IA 52002-9618
Phone (563) 599-7311

Other names 1

  • Dr. Rebecca Marie Anderson Former name

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

LicenseStateTypeSpecialty
23038IAMDPharmacist
051.300742ILMDPharmacist
19252-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartig Drug Co Corp PastSince Aug 1, 2019 Accepting new patients
Hartig Drug Co Corp PastSince Aug 1, 2019 Accepting new patients
Hy-Vee Inc PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1144725193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 TRAILS EDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520029618",
            "telephone_number": "563-599-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 8TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362925",
            "telephone_number": "515-432-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.300742",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19252-40",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.