Paul J. Fulmer, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

12653 Issued in NE

Practice address

1317 Hill St
Holdrege, NE 68949-1237

Phone

(308) 995-4401

Fax

(308) 995-8834

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fulmerpharmacy@fulmeru-savepharmacy.libertysoftwaredirect.com

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.

• Hays Pharmacy Inc.

  • Community/Retail Pharmacy
  • Alma, NE
  • NPI 1659474765

  Pharmacist

  NPD Authorized official
• Kaps Inc.

  dba Fulmer Pharmacy

  • Community/Retail Pharmacy
  • Holdrege, NE
  • NPI 1730263377
  NPD Authorized official

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1821222399",
    "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": [
        {
            "address_1": "706 Main St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "NE",
            "postal_code": "689202164",
            "country_code": "US",
            "telephone_number": "308-928-2022",
            "fax_number": "308-928-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULMER",
        "first_name": "PAUL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063451200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077451800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA PHARMACY LICENSE",
            "identifier": "12653",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kim L. Fulmer, R.PH.
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• Weston Carl Gustafson, DC
• Mallory Haas, PA-C
• Rodney Lynn Hainke

• Pharmacist in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.