Active NPI
Keirstian Fultz
- Pharmacist
- Hyden, KY
National Provider Identifier
1255044822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022932
- Practice address
- 21287 Highway 421
Hyden, KY 41749-8554 - Phone
- (606) 672-3811
- Fax
- (606) 672-3926
- NPI assigned
- Dec 28, 2022
- Last updated
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022932 | KY | Primary |
Addresses
Primary practice location
21287 Highway 421
Hyden, KY 41749-8554
Mailing address
21287 Highway 421
Hyden, KY 41749-8554
Phone (606) 672-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022932 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1255044822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21287 HIGHWAY 421",
"city": "HYDEN",
"state": "KY",
"postal_code": "417498554",
"telephone_number": "606-672-3811",
"fax_number": "606-672-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21287 HIGHWAY 421",
"city": "HYDEN",
"state": "KY",
"postal_code": "417498554",
"telephone_number": "606-672-3811",
"fax_number": "606-672-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTZ",
"first_name": "KEIRSTIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyden, KY
- Family Home Care,Inc
- Kyle Ethan Farmer, APRN, FNP-C
- Heidi A Froemke, FNP
- Frontier Nursing Healthcare, Inc.
- Frontier Nursing Healthcare, Inc.
- Lindsay Gay, SLP
- Carlenia Irene Gose, COTA/L
- Grace Community Health Center Inc (Mountain View Elementary School Based Health Clinic)
- Grace Community Health Center Inc (Hyden Clinic)
- Grace Community Health Center, Inc. (Leslie County High School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.