John Dennis Fitzgerald, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR47220 Issued in ME

Practice address

182 Market St Ste 2
Fort Kent, ME 04743-1514

Phone

(207) 834-2880

NPI assigned

Apr 10, 2020

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

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Aroostook Pharmacy Inc.

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1518481134
  NPD (past)
• Northern Maine Medical Center

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1952303422
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1992324974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440602",
            "telephone_number": "505-259-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MARKET ST STE 2",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431514",
            "telephone_number": "207-834-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOHN",
        "middle_name": "DENNIS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR47220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellsworth, PMHNP
• Lisa M. Eno, FNP
• Fish River Rural Health
• Fish River Rural Health
• Fish River Rural Health
• Robert J. Gendreau, CRNA
• Shawn Edward Graham
• Cameron Grange, MD
• John Andrew Hallberg, MD
• James Vincent Harris, MD

• All providers in Fort Kent, ME
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.