Kenneth J Fitzgerald, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

20973 Issued in TX

Practice address

104 E Kyle St
Bangs, TX 76823-3146

Phone

(325) 752-6218

Fax

(325) 752-7134

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

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.

• Kenneth J Fitzgerald

  dba Bangs Drug Mart

  • Community/Retail Pharmacy
  • Bangs, TX
  • NPI 1407935380
  Authorized official Same address or phone

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1962735365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "768230459",
            "telephone_number": "325-752-6218",
            "fax_number": "325-752-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E KYLE ST",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "768233146",
            "telephone_number": "325-752-6218",
            "fax_number": "325-752-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "20973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bangs School Based Health Clinic
• Billie Byers, PTA
• Gregory Shane Dirickson, LPTA
• Fannin County Hospital Authority (Bangs Nursing and Rehabilitation)
• Angeline Fields, LVN
• Mary May Guevarra, OTR/L
• Charles Roland Hall, DO
• Katie Shawn Harris
• Samantha Rae Hollekim
• Kenneth J Fitzgerald (Bangs Drug Mart)

• Pharmacist in Bangs, TX
• Providers in Bangs, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.