Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053731521 Individual Practitioner Male Practitioner

Nicholas Fetter

Pharmacist • Keller, TX

Professional Overview & Biography Verified Profile Summary

Nicholas Fetter is a registered healthcare professional specializing in Pharmacist in Keller, TX. Practice services are available at 976 KELLER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

976 Keller Pkwy

Keller, TX 762483608

Telephone 8174315178
Associated Practice Facility / Clinic
🏢 Kroger Texas L P Facility NPI 1649343260

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Keller, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 60797

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MN 122035

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License WI 17399-40

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ashley Pham , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1023649704

Registered Pharmacist

NPI 1033718002
Dr. Cristina Bryant , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1245972371

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 19, 2026

Registered at 976 KELLER PKWY, KELLER, TX 762483608 (Tel: 8174315178)

📍
Updated Business Mailing Address May 19, 2026

Registered at 299 MONROE AVE APT 2411, ROANOKE, TX 762626745 (Tel: 2183108652)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2026

Pharmacist (License #122035 in MN)

NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2014

Registered at 3015 TOWER AVE, SUPERIOR, WI 548805324 (Tel: 7153945551)

📍
Updated Business Mailing Address April 23, 2014

Registered at 600 N 23RD AVE E APT 209, DULUTH, MN 558121450 (Tel: 2183108652)

👤
Provider Name / Credentials Updated April 23, 2014

Recorded as NICHOLAS FETTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Pharmacist (License #17399-40 in WI)

🟢
Initial NPI Registration & Enumeration April 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053731521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2014
Last Update: May 19, 2026
Sole Proprietor: No

Mailing Address

299 Monroe Ave Apt 2411

Roanoke, TX 762626745

Phone: 2183108652

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.