Individual provider Active NPI

Anne Fulton Bohner, PHARMD

  • Pharmacist
  • Essex, MD
National Provider Identifier
1770064347
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25858 Issued in MD
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

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25858OtherMDMARYLAND BOARD OF PHARMACY

Other names 1

  • Anne Elise Fulton Former name

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

LicenseStateTypeSpecialty
25858MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weis Markets Inc PastSince Oct 9, 2022 Accepting new patients
Weis Markets, Inc. PastSince Oct 9, 2022 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": "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.

Verify at the official NPI Registry.