Matthew Avery Fettman, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-1-25539 Issued in OH

Practice address

2915 Tuscarawas St W
Canton, OH 44708-4607

Phone

(330) 454-5151

Fax

(330) 454-5266

NPI assigned

Jul 5, 2006

Last updated

Aug 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

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.

• Davies Drugs Inc

  dba Davies Drug Inc

  • Community/Retail Pharmacy
  • North Canton, OH
  • NPI 1528080454
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1285665513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 REBECCA AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447094876",
            "telephone_number": "330-327-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084607",
            "telephone_number": "330-454-5151",
            "fax_number": "330-454-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTMAN",
        "first_name": "MATTHEW",
        "middle_name": "AVERY",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-25539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ferraro, CT
• Rochelle Rae Ferren, R.PH.
• Linda Fete
• Louisa Fete
• Ariel Fethiere, B.S.
• Steven Lawrence Fettman, RPH
• Patrice M Fetzer, MA, LISW
• Andrew Fey
• Ryan P Ficco, M.D.
• Sara M Fichter, CNP

• Pharmacist in Canton, OH
• Providers in Canton, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.