Active NPI
Shawn Fitzgerald, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1164736864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054762
- Practice address
- 745 Calkins Rd
Rochester, NY 14623-4435 - Phone
- (585) 359-2271
- Fax
- (585) 334-7101
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 054762 | NY | Primary |
Addresses
Primary practice location
745 Calkins Rd
Rochester, NY 14623-4435
Mailing address
745 Calkins Rd
Rochester, NY 14623-4435
Phone (585) 359-2271
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054762 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | 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": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1164736864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 CALKINS RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234435",
"telephone_number": "585-359-2271",
"fax_number": "585-334-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 CALKINS RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234435",
"telephone_number": "585-359-2271",
"fax_number": "585-334-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "SHAWN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.