Fulghum Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005546 Issued in GA

Legal business name

FULGHUM DRUGS INC

Doing business as

Fulghum Drugs Inc

Practice address

34 NW Park Ave
Baxley, GA 31513-0049

Phone

(912) 367-2488

Fax

(912) 367-7235

NPI assigned

Oct 25, 2007

Last updated

Apr 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ray Dixon, PHARMDNPI 1184657017

Title

President

Phone

(912) 367-2488

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• FULGHUM DRUGS INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray Ashley Dixon, PHARMD

  • Pharmacist
  • Baxley, GA
  • NPI 1184657017
  Authorized official Same address or phone

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1407035579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315150115",
            "telephone_number": "912-367-2488",
            "fax_number": "912-367-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NW PARK AVE",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130049",
            "telephone_number": "912-367-2488",
            "fax_number": "912-367-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULGHUM DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-367-2488",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005546",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000191441A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULGHUM DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxany Fernandez
• Orlando V Fernando, M.D.
• Janet Leona Flounory, LPC
• Tonya Fowler Fordham, D.O.
• Santina Fryer
• Fulghum Durgs
• Georgia Baptist Children's Homes and Family Ministries, Inc.
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 07294)
• Bruce M Gioia, MD
• Mandy Sellers Gjone, NP

• Community/Retail Pharmacy in Baxley, GA
• Providers in Baxley, GA by specialty
• Community/Retail Pharmacy in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.