Fulton Specialty Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FULTON SPECIALTY PHARMACY, LLC

Practice address

1509 S Adams St Ste D
Fulton, MS 38843-6621

Phone

(662) 245-3080

Fax

(888) 828-2149

NPI assigned

May 14, 2019

Last updated

May 14, 2019By 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

Mr. Thomas W Francis

Title

Owner

Phone

(662) 245-3080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1699331868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S ADAMS ST STE D",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388436621",
            "telephone_number": "662-245-3080",
            "fax_number": "888-828-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S ADAMS ST STE D",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388436621",
            "telephone_number": "662-245-3080",
            "fax_number": "888-828-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-245-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenteney Fortune, FNP-C, CRNP
• Kristy S. Franks, FNP
• Sheila Ann Frederick, AGNP-C
• Fulton Family Medical
• Fulton Rehabilitation Services, PA
• Shelley Ann Ganaway, RN
• Katina M Gates, BS
• Robert Alin Gilmore, LPTA
• Alanta Jade Goggins, FNP-C
• Tina Marie Guntharp

• Pharmacy in Fulton, MS
• Providers in Fulton, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.