Active NPI
Samantha Tulino Fugleberg, PHARMD
- Pharmacist
- Cary, NC
National Provider Identifier
1801039334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19409
- Practice address
- 1210 Kildaire Farm Rd
Cary, NC 27511-5524 - Phone
- (919) 388-4454
- NPI assigned
- Apr 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19409 | NC | Primary |
| Pharmacist | 183500000X | 38771 | FL |
Addresses
Primary practice location
1210 Kildaire Farm Rd
Cary, NC 27511-5524
Mailing address
315 Stromer Dr
Cary, NC 27513-2754
Phone (321) 536-1717
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 |
|---|---|---|---|
| 38771 | FL | MD | Pharmacist |
| 19409 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Cary, NC
- NPI 1487864096
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- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1801039334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 STROMER DR",
"city": "CARY",
"state": "NC",
"postal_code": "275132754",
"telephone_number": "321-536-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275115524",
"telephone_number": "919-388-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGLEBERG",
"first_name": "SAMANTHA",
"middle_name": "TULINO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19409",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "38771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.