Individual provider Active NPI

Shanna Ann Fitzpatrick

  • Pharmacist
  • Somersworth, NH
National Provider Identifier
1336742238
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHCY00987 Issued in NH
Practice address
11 Andrews Rd
Somersworth, NH 03878-1042
Phone
(603) 692-6751
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR5116 ME
Pharmacist 183500000X 039334 NY
Pharmacist 183500000X PHCY00987 NH Primary

Addresses

Primary practice location

11 Andrews Rd
Somersworth, NH 03878-1042

Mailing address

11 Andrews Rd
Somersworth, NH 03878-1042
Phone (603) 692-6751

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Somersworth
CONNECT URL Somersworth
CONNECT URL Somersworth
CONNECT URL Somersworth

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

State licenses

LicenseStateTypeSpecialty
PR5116MEMDPharmacist
PHCY00987NHMDPharmacist
039334NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1336742238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ANDREWS RD",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781042",
            "telephone_number": "603-692-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ANDREWS RD",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781042",
            "telephone_number": "603-692-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SHANNA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5116",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039334",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY00987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somersworth",
            "affiliation": "N",
            "address_1": "11 Andrews Rd",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somersworth",
            "affiliation": "N",
            "address_1": "11 Andrews Rd",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somersworth",
            "affiliation": "N",
            "address_1": "11 Andrews Rd",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somersworth",
            "affiliation": "N",
            "address_1": "11 Andrews Rd",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.