Broadus Fitzhugh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

016512 Issued in KY

Practice address

4230 Saron Dr
Lexington, KY 40515-6300

Phone

(859) 272-1201

Fax

(859) 272-1194

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Lexington, KY
  • NPI 1588797690
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1538769922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 SARON DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156300",
            "telephone_number": "859-272-1201",
            "fax_number": "859-272-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 SARON DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156300",
            "telephone_number": "859-272-1201",
            "fax_number": "859-272-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHUGH",
        "first_name": "BROADUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "016512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "016512",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katheryn Fister, OTR/L
• Savannah Netherton Fister, DO
• Suzanne C Fister
• Michael Alan Fitzgerald, DO
• Michael T Fitzgerald, APRN
• Theresa Ann Fitzpatrick-Barkley, LCSW
• Melissa Kay Fitzpatrick, ARNP, FNP-BC
• Five Star Home Care
• Five Star Rehabilitation and Wellness Services, LLC.
• Nicole Maria Flach

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.