Constance Marie Pulte, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS41210 Issued in FL

Practice address

463737 State Road 200
Yulee, FL 32097-8652

Phone

(904) 548-1241

Fax

(904) 548-1241

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043366289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31177 GRASSY PARKE DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341101",
            "telephone_number": "904-557-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463737 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978652",
            "telephone_number": "904-548-1241",
            "fax_number": "904-548-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULTE",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Yulee, FL
• Providers in Yulee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.