Sean Malone Fitzpatrick, RPH; PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

11188 Issued in OR

Practice address

1215 W 6TH St
The Dalles, OR 97058-3515

Phone

(541) 296-1748

Fax

(541) 296-1756

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fred Meyer Stores Inc

  dba FRED MEYER Pharmacy #372

  • Community/Retail Pharmacy
  • The Dalles, OR
  • NPI 1396771507
  NPD (past)
• Fred Meyer Stores Inc.

  dba QFC Pharmacy #835

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1962656785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAIN AVE N",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971417784",
            "telephone_number": "803-815-1433",
            "fax_number": "503-815-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W 6TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583515",
            "telephone_number": "541-296-1748",
            "fax_number": "541-296-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SEAN",
        "middle_name": "MALONE",
        "credential": "RPH; PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "11188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Finley
• Rebecca Ann Fischer
• Jahmi Lee Fiscus
• Ariana Noelle Fitzpatrick, PHARMD
• Caitlin Maureen Fitzpatrick
• Dawnel Flaherty
• Rosa Maria Flores Mendiola
• Charles R Ford, MD
• David Christain Ford, MD
• Alice Myra Forsythe, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.