Active NPI
Roger B Fitzpatrick, RPH
- Pharmacist
- Clearfield, UT
National Provider Identifier
1548391329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 147395-1701
- Practice address
- 580 S State St
Clearfield, UT 84015-1733 - Phone
- (801) 773-8703
- Fax
- (801) 773-9628
- NPI assigned
- Mar 7, 2007
- Last updated
- Apr 15, 2024
- Sex
- Male
- 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 | 147395-1701 | UT | Primary |
Addresses
Primary practice location
580 S State St
Clearfield, UT 84015-1733
Mailing address
4215 W 1050 S
West Point, UT 84015-6034
Phone (801) 600-6113
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 |
|---|---|---|---|
| 147395-1701 | UT | MD | Pharmacist |
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": "1713139200000",
"number": "1548391329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 W 1050 S",
"city": "WEST POINT",
"state": "UT",
"postal_code": "840156034",
"telephone_number": "801-600-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 S STATE ST",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151733",
"telephone_number": "801-773-8703",
"fax_number": "801-773-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ROGER",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "147395-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.