Active NPI
Beth Janette Fisher, PHARM. D
- Pharmacist
- Fort Madison, IA
National Provider Identifier
1306822267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19509
- Practice address
- 5445 Avenue O
Fort Madison, IA 52627-9611 - Phone
- (319) 376-2408
- Fax
- (319) 372-7461
- NPI assigned
- Dec 21, 2005
- Last updated
- Sep 25, 2007
- Sex
- Female
- 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 | 19509 | IA | Primary |
Addresses
Primary practice location
5445 Avenue O
Fort Madison, IA 52627-9611
Mailing address
1503 170TH St
Mt Pleasant, IA 52641-8551
Phone (319) 931-4643
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 |
|---|---|---|---|
| 19509 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1306822267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 170TH ST",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "526418551",
"telephone_number": "319-931-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279611",
"telephone_number": "319-376-2408",
"fax_number": "319-372-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "BETH",
"middle_name": "JANETTE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Madison, IA
- Rebecca Mary Eaves, CADC
- Kara Renee Eid, PHARMD, RPH
- Scott Edward Ellison, RPH
- Empowerme Asl, LLC
- Kaitlyn Marie Fedler, DNP
- Fort Madison C.S.D.
- Fort Madison Health Center Operations LLC (The Madison)
- Fort Madison Health Center, Inc. (The Madison)
- Fort Madison Health Center, Inc.
- Fort Madison Lenscrafters (Fort Madison Eye Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.