Active NPI
John Alvin Fitzgerald, RHP
- Pharmacist
- Jordan, MT
National Provider Identifier
1790815181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2362
- Practice address
- 437 Main St.
Jordan, MT 59337-0005 - Phone
- (406) 557-6180
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2362 | MT | Primary |
Addresses
Primary practice location
437 Main St.
Jordan, MT 59337-0005
Mailing address
437 Main St.
Jordan, MT 59337-0005
Phone (406) 557-6180
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 |
|---|---|---|---|
| 2362 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Jordan Drug Co. | Pharmacist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790815181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 MAIN ST.",
"city": "JORDAN",
"state": "MT",
"postal_code": "593370005",
"telephone_number": "406-557-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 MAIN ST.",
"city": "JORDAN",
"state": "MT",
"postal_code": "593370005",
"telephone_number": "406-557-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "JOHN",
"middle_name": "ALVIN",
"name_prefix": "Mr.",
"credential": "RHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "2362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jordan, MT
- County of Garfield
- County of Garfield (Garfield County Health Center)
- County of Garfield
- County of Garfield (Garfield County Clinic)
- County of Garfield (Garfield County Health Center)
- Foster Jordan Drug Co. (Jordan Drug)
- Garfield County Health Center, Inc.
- Garfield County Health Center, Inc.
- Erin Marie McWilliams, FNP
- Daniel Anthony Muniak, P.A.
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.