Fulton Pharmacy, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FULTON PHARMACY, LLC

Practice address

622 N Market St
Frederick, MD 21701-5245

Phone

(301) 662-4848

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Michael Westbrook

Title

President

Phone

(301) 662-4848

Specialties & licenses 1

Addresses

Other names 1

• Whitesell Home Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fulton Pharmacy, LLC

  • Long Term Care Pharmacy
  • Frederick, MD
  • NPI 1578095576

  5395886071

  Same PAC ID
• Fulton Pharmacy, LLC

  • Community/Retail Pharmacy
  • Frederick, MD
  • NPI 1639109473

  5395886071

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Whitesell Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Fulton Pharmacy, LLC

  • Long Term Care Pharmacy
  • Frederick, MD
  • NPI 1508617838
  NPD tax ID
• Fulton Pharmacy, LLC

  • Long Term Care Pharmacy
  • Frederick, MD
  • NPI 1578095576
  NPD tax ID
• Fulton Pharmacy, LLC

  • Community/Retail Pharmacy
  • Frederick, MD
  • NPI 1639109473
  NPD tax ID

Locations

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1194259937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015245",
            "telephone_number": "301-662-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "WESTBROOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-662-4848"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitesell Home Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Drew Frye, LCPC
• Ft Meade Meddac
• Angela Fu, L.C.P.C.
• Amber Dawn Fullmer
• Katelyn Sarah Fulmore, M.S. , CCC-SLP
• Fulton Pharmacy, LLC
• Fulton Pharmacy, LLC
• Fulton Pharmacy, LLC
• Joshua Funk, DPT, CSCS
• Fyimprovement, LLC

• Durable Medical Equipment & Medical Supplies in Frederick, MD
• Providers in Frederick, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.