DAN FITZGERALD PHARMACY,INC (NPI# 1841236304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841236304 |
| Entity Type | Organization |
| Organization Name | DAN FITZGERALD PHARMACY,INC |
| Practice Address |
424 E Silver Spring Dr Whitefish Bay WI 53217-5224 |
| Practice Telephone | 4143328380 |
| Practice Fax Number | 4143323798 |
| Mailing Telephone | 4143328380 |
| Mailing Fax Number | 4143323798 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL D PISTINER (OWNER) |
| Authorized Official Telephone | 4143328380 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9716 | WI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33181000 | 05 |
| Street Address |
424 E SILVER SPRING DR |
| City | WHITEFISH BAY |
| State | WI |
| Zip Code | 53217-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771759 | Hayat Pharmacy 23 LLC. | Pharmacy | 424 E Silver Spring Dr, Whitefish Bay, WI 53217-5224 | 2019-10-16 |
| 1578817375 | Adam Jacob Pistiner | Pharmacist | 424 E Silver Spring Dr, Whitefish Bay, WI 53217-5224 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720352578 | Galen Stanley Swenson | Pharmacist | 5143 N Shoreland Ave, Whitefish Bay, WI 53217-5542 | 2012-02-25 |
| 1528361045 | Christine M Gruber | Pharmacist | 4647 N Lake Dr, Whitefish Bay, WI 53211-1255 | 2010-12-07 |
| 1598387508 | Meda A. Tutila | Pharmacist | 240 E Hampton Rd, Whitefish Bay, WI 53217-5850 | 2020-05-12 |
| 1104451665 | Chad Seubert | Pharmacist | 240 E Hampton Rd, Whitefish Bay, WI 53217-5850 | 2020-03-05 |
| 1578817375 | Adam Jacob Pistiner | Pharmacist | 424 E Silver Spring Dr, Whitefish Bay, WI 53217-5224 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | WHITEFISH BAY |
| Zip Code | 53217 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.