NPIMap

Organization Active NPI

Fitzgerald Pharmacy Inc

  • Community/Retail Pharmacy
  • Richmond, VA
National Provider Identifier
1285721480
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002357 Issued in VA
Legal business name
FITZGERALD PHARMACY INC
Practice address
1011 Lafayette St
Richmond, VA 23221-1156
Phone
(804) 355-1777
Fax
(804) 358-0426
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
James FitzgeraldNPI 1487996237
Title
Pres
Phone
(804) 353-7726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201002357 VA Primary

Addresses

Primary practice location

1011 Lafayette St
Richmond, VA 23221-1156

Mailing address

1011 Lafayette St
Richmond, VA 23221-1156
Phone (804) 355-1777

Other identifiers 2

IdentifierTypeStateIssuer
008501246MedicaidVA
2102780OtherPK

Other names 1

  • FITZGERALD LAFAYETTE PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041129000955 VA Part B Supplier - Mass Immunization (Roster Biller Only) 4981669124 Practice locations: Richmond, VA

National Provider Directory

National Provider Directory
Tax ID family
Fitz-Lafayette Pharm in2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1285721480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAFAYETTE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211156",
            "telephone_number": "804-355-1777",
            "fax_number": "804-358-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAFAYETTE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211156",
            "telephone_number": "804-355-1777",
            "fax_number": "804-358-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "804-353-7726"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008501246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FITZGERALD LAFAYETTE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.