NPIMap

Organization Active NPI

Fitzgerald Bethel Pharmacy Inc

  • Long Term Care Pharmacy
  • Bethel, OH
National Provider Identifier
1962983668
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
22165350 Issued in OH
Legal business name
FITZGERALD BETHEL PHARMACY INC
Practice address
697 W Plane St
Bethel, OH 45106-9573
Phone
(513) 734-3784
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Gerald Mark Fitzgerald
Title
VP
Phone
(513) 257-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 22165350 OH Primary

Addresses

Primary practice location

697 W Plane St
Bethel, OH 45106-9573

Mailing address

697 W Plane St
Bethel, OH 45106-9573
Phone (513) 257-5477

Other identifiers 1

IdentifierTypeStateIssuer
57918MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Fitzgerald Bethel Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1962983668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 W PLANE ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451069573",
            "telephone_number": "513-257-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 W PLANE ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451069573",
            "telephone_number": "513-734-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD BETHEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "513-257-5477"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "22165350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.