Active NPI
Dennis James Fearno, PHARMACIST
- Pharmacist
- Prescott, AZ
National Provider Identifier
1780776542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6138
- Practice address
- 500 N Hwy 89
Prescott, AZ 86313 - Phone
- (928) 445-4860
- Fax
- (928) 776-6036
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 6138 | AZ | Primary |
Addresses
Primary practice location
500 N Hwy 89
Prescott, AZ 86313
Mailing address
2064 Douglas LN
Prescott, AZ 86301-5383
Phone (928) 778-2216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6138 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Vamc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Department of Veterans Affairs (VA) Pharmacy
- Prescott, AZ
- NPI 1801854328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780776542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 DOUGLAS LN",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863015383",
"telephone_number": "928-778-2216",
"fax_number": "928-776-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N HWY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860",
"fax_number": "928-776-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARNO",
"first_name": "DENNIS",
"middle_name": "JAMES",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "6138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.