Active NPI
Carl Fitzwater, PHARMD
- Pharmacist
- Beckley, WV
National Provider Identifier
1346841079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0006589
- Practice address
- 1881 Robert C. Byrd Dr
Beckley, WV 25801 - Phone
- (304) 256-6496
- Fax
- (304) 256-6499
- NPI assigned
- Nov 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | RP0006589 | WV | Primary |
Addresses
Primary practice location
1881 Robert C. Byrd Dr
Beckley, WV 25801
Mailing address
701 Northwestern Ave
Beckley, WV 25801-3235
Phone (304) 256-6496
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 |
|---|---|---|---|
| RP0006589 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1346841079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NORTHWESTERN AVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013235",
"telephone_number": "304-256-6496",
"fax_number": "304-256-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 ROBERT C. BYRD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-256-6496",
"fax_number": "304-256-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZWATER",
"first_name": "CARL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.