Fulcrum Pharmacy Management Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

A30000888 Issued in DE

Legal business name

FULCRUM PHARMACY MANAGEMENT INC

Doing business as

Fulcrum Pharmacy

Practice address

501 N Shipley St
Unit 1
Wilmington, DE 19801-2252

Phone

(302) 658-8020

Fax

(302) 658-8024

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Christy Crkvenac

Title

Owner

Phone

(302) 658-8020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FULCRUM PHARMACY Doing business as

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1689756462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2695",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198050695",
            "telephone_number": "302-658-8020",
            "fax_number": "302-658-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SHIPLEY ST",
            "address_2": "UNIT 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012252",
            "telephone_number": "302-658-8020",
            "fax_number": "302-658-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM PHARMACY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "CRKVENAC",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-658-8020"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "DE",
            "license": "A30000888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023567",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0804129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULCRUM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michell A Fullmer, RD
• Jaclyn A Fulmer, M.S., CCC-SLP
• Kerry Fulton, RN
• Bernadette Fulweiler, CPNP-PC

• Long Term Care Pharmacy in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Long Term Care Pharmacy in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.