Active NPI
Anne Fulton Bohner, PHARMD
- Pharmacist
- Essex, MD
National Provider Identifier
1770064347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25858
- Practice address
- 165 Orville Rd
Essex, MD 21221 - Phone
- (410) 238-1064
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25858 | MD | Primary |
Addresses
Primary practice location
165 Orville Rd
Essex, MD 21221
Mailing address
123 Burnett Street
Baltimore, MD 21230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25858 | Other | MD | MARYLAND BOARD OF PHARMACY |
Other names 1
- Anne Elise Fulton
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25858 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets, 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.
-
- Community/Retail Pharmacy
- Waldorf, MD
- NPI 1609739366
-
- Community/Retail Pharmacy
- Essex, MD
- NPI 1376993378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1770064347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BURNETT STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ORVILLE RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "21221",
"telephone_number": "410-238-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNER",
"first_name": "ANNE",
"middle_name": "FULTON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHARMACY",
"identifier": "25858",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "FULTON",
"middle_name": "ELISE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.