Organization Active NPI

Kaps Inc.

Doing business as Fulmer Pharmacy

  • Community/Retail Pharmacy
  • Holdrege, NE
National Provider Identifier
1730263377
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2920 Issued in NE
Legal business name
KAPS INC.
Doing business as
Fulmer Pharmacy
Practice address
1317 Hill St
Holdrege, NE 68949-1237
Phone
(308) 995-4401
Fax
(308) 995-8834
NPI assigned
Oct 24, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Dr. Paul J. Fulmer, PHARM D.NPI 1821222399
Title
Owner & Ceo Kaps Inc.
Phone
(402) 212-1386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2920 NE Primary

Addresses

Primary practice location

1317 Hill St
Holdrege, NE 68949-1237

Mailing address

1317 Hill St
Holdrege, NE 68949-1237
Phone (308) 995-4401

Other identifiers 1

IdentifierTypeStateIssuer
2133021OtherPK

Other names 1

  • Fulmer Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101006000506 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4981723608 1 other NPI on this enrollment
Practice locations: Holdrege, NE
O20221229000161 NE Part B Supplier - Independent Clinical Laboratory 4981723608 Practice locations: Holdrege, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1066177Fulmer Pharmacy1317 Hill Street, Holdrege, NE 68949Certificate of waiverMar 18, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Fulmer U-Save Pharmacy1317 Hill St, Holdrege, NE 68949-1237(308) 995-4401 Blood Glucose Monitors/Supplies (Non-Mail Order)|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1317 Hill St
Holdrege, NE 68949
Phone (308) 995-4401

702 4th Ave
Holdrege, NE 68949
Phone (308) 995-6105

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1730263377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 HILL ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491237",
            "telephone_number": "308-995-4401",
            "fax_number": "308-995-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 HILL ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491237",
            "telephone_number": "308-995-4401",
            "fax_number": "308-995-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER & CEO KAPS INC.",
        "authorized_official_telephone_number": "402-212-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulmer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fulmer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.