Active NPI
Kim L. Fulmer, R.PH.
- Pharmacist
- Holdrege, NE
National Provider Identifier
1376777854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9471
- Practice address
- 702 4TH Ave
Holdrege, NE 68949-2203 - Phone
- (308) 995-6105
- Fax
- (308) 995-6106
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 9471 | NE | Primary |
Addresses
Primary practice location
702 4TH Ave
Holdrege, NE 68949-2203
Mailing address
702 4TH Ave
Holdrege, NE 68949-2203
Phone (308) 995-6105
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9471 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaps Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1376777854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 4TH AVE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492203",
"telephone_number": "308-995-6105",
"fax_number": "308-995-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 4TH AVE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492203",
"telephone_number": "308-995-6105",
"fax_number": "308-995-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "KIM",
"middle_name": "L.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.