Individual provider Active NPI

Brian Ricks Fulcher, RPH

  • Pharmacist
  • Greenville, NC
National Provider Identifier
1669787230
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10914 Issued in NC
Practice address
1913 E Fire Tower Rd Ste E
Greenville, NC 27858-4127
Phone
(252) 355-3538
Fax
(252) 758-3324
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10914 NC Primary

Addresses

Primary practice location

1913 E Fire Tower Rd Ste E
Greenville, NC 27858-4127

Mailing address

1913 E Fire Tower Rd Ste E
Greenville, NC 27858-4127
Phone (252) 355-3538

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

LicenseStateTypeSpecialty
10914NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Realo Discount Drug Stores of Eastern North Carolina, Inc Past Accepting new patients
Realo Discount Drug Stores of Eastern North Carolina Inc Past Accepting new patients

Organizations & group practices 2

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": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1669787230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E FIRE TOWER RD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584127",
            "telephone_number": "252-355-3538",
            "fax_number": "252-758-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E FIRE TOWER RD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584127",
            "telephone_number": "252-355-3538",
            "fax_number": "252-758-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "BRIAN",
        "middle_name": "RICKS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "10914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; 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.