Individual provider Active NPI

George F Fetko

  • Pharmacist
  • Hopewell, VA
National Provider Identifier
1982292744
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202204481 Issued in VA
Practice address
2508 Gray St
Hopewell, VA 23860-5026
Phone
(804) 458-3784
Fax
(804) 458-6450
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202204481 VA Primary

Addresses

Primary practice location

2508 Gray St
Hopewell, VA 23860-5026

Mailing address

13320 Leonards LN
Disputanta, VA 23842-8405

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

LicenseStateTypeSpecialty
0202204481VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Drug Inc CurrentSince Jan 10, 2021 Accepting new patients
Back Home Pharmacy Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

2508 Gray St
Hopewell, VA 23860
Phone (804) 458-3784

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1982292744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 LEONARDS LN",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238428405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 GRAY ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605026",
            "telephone_number": "804-458-3784",
            "fax_number": "804-458-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETKO",
        "first_name": "GEORGE",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.