Gilbert Michael Fulks, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03314210 Issued in OH

Practice address

2901 5TH Ave
Huntington, WV 25702-1407

Phone

(304) 697-0366

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Huntington, WV
  • NPI 1053414714
  NPD (past)
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Anderson, SC
  • NPI 1114020971
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1437765856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456690985",
            "telephone_number": "740-867-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021407",
            "telephone_number": "304-697-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKS",
        "first_name": "GILBERT",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0003946",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03314210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Frye
• Cheri Frye
• Hadassah D Frye, MD
• Melody G. Frye, LPC
• Bryan Fugate
• A Nedra Yulonda Fuller Terry, DPM
• Debra Jane Fuller-Phelps, MA, MS, LSW
• Jeremy D Fuller, MD
• Jillian Fuller
• Katelen Fuller

• Pharmacist in Huntington, WV
• Providers in Huntington, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.