Active NPI
Jill R Fetter, R.PH
- Pharmacist
- Dallastown, PA
National Provider Identifier
1306976220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-039668-L
- Practice address
- 755 S Pleasant Ave
Dallastown, PA 17313-9252 - Phone
- (717) 851-1351
- NPI assigned
- Mar 7, 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 | RP-039668-L | PA | Primary |
Addresses
Primary practice location
755 S Pleasant Ave
Dallastown, PA 17313-9252
Mailing address
304 Saint Charles Way
York, PA 17402-4647
Phone (717) 851-5891
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 |
|---|---|---|---|
| RP-039668-L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Infusion Therapy Pharmacy
- York, PA
- NPI 1275684516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1306976220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SAINT CHARLES WAY",
"city": "YORK",
"state": "PA",
"postal_code": "174024647",
"telephone_number": "717-851-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S PLEASANT AVE",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173139252",
"telephone_number": "717-851-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTER",
"first_name": "JILL",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-039668-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallastown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.