Active NPI
John Allen Fetterman, PHARMD
- Pharmacist
- Danville, PA
National Provider Identifier
1174285654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449196
- Practice address
- 9 Stearns LN
Danville, PA 17821-8850 - Phone
- (570) 284-3657
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- 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 | RP449196 | PA | Primary |
Addresses
Primary practice location
9 Stearns LN
Danville, PA 17821-8850
Mailing address
31 Orchard Ave
Danville, PA 17821-8725
Phone (570) 259-5793
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 |
|---|---|---|---|
| RP449196 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1174285654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ORCHARD AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178218725",
"telephone_number": "570-259-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 STEARNS LN",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178218850",
"telephone_number": "570-284-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTERMAN",
"first_name": "JOHN",
"middle_name": "ALLEN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.