NPIMap

Organization Active NPI

Morr Fitz Inc

Doing business as Fitzgerald Pharmacy

  • Long Term Care Pharmacy
  • Morrison, IL
National Provider Identifier
1578062113
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MORR FITZ INC
Doing business as
Fitzgerald Pharmacy
Practice address
124 E Main St
Morrison, IL 61270-2638
Phone
(815) 772-3415
Fax
(815) 772-7240
NPI assigned
Feb 9, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Luke Vander BleekNPI 1386715522
Title
President
Phone
(815) 772-3415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL
Long Term Care Pharmacy 3336L0003X IL Primary

Addresses

Primary practice location

124 E Main St
Morrison, IL 61270-2638

Mailing address

124 E Main St
Morrison, IL 61270-2638
Phone (815) 772-3415

Other names 1

  • Fitzgerald Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morr Fitz Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

124 E Main St
Morrison, IL 61270
Phone (815) 772-3415

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1578062113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702638",
            "telephone_number": "815-772-3415",
            "fax_number": "815-772-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702638",
            "telephone_number": "815-772-3415",
            "fax_number": "815-772-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORR FITZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "VANDER BLEEK",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-772-3415"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitzgerald Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.