Active NPI
Caitlin Adele Fewx, PHARM.D.
- Pharmacist
- Salem, OR
National Provider Identifier
1659640449
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0011098
- Practice address
- 150 Liberty St SE
Salem, OR 97301-3506 - Phone
- (503) 364-3336
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0011098 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0011098 | OR |
Addresses
Primary practice location
150 Liberty St SE
Salem, OR 97301-3506
Mailing address
157 NE James St
Camas, WA 98607-2420
Phone (360) 721-9066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0011098 | Other | OR | QUISENBERRY PHARMACY, SALEM, OREGON |
| RPH-0011098 | Medicaid | OR |
Other names 1
- Dr. Caitlin Fewx-Patrick
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0011098 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1659640449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 NE JAMES ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072420",
"telephone_number": "360-721-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013506",
"telephone_number": "503-364-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEWX",
"first_name": "CAITLIN",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0011098",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0011098",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUISENBERRY PHARMACY, SALEM, OREGON",
"identifier": "RPH-0011098",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RPH-0011098",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "FEWX-PATRICK",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.