Monica Mary Fullenkamp, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03440913 Issued in OH

Practice address

102 N Wayne St
Fort Recovery, OH 45846-8059

Phone

(419) 375-2323

Fax

(419) 375-4488

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaup Pharmacy, Inc.

  • Home Infusion Therapy Pharmacy
  • Fort Recovery, OH
  • NPI 1518016021
  NPD (past)
• Kaup Pharmacy Inc

  dba Kaup Pharmacy

  • Community/Retail Pharmacy
  • Berne, IN
  • NPI 1447655139
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1831838523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 SAINT PETER RD",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458469705",
            "telephone_number": "419-763-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N WAYNE ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458468059",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 W Deerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "IN",
            "postal_code": "473901039",
            "country_code": "US",
            "telephone_number": "765-964-3098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Main St",
            "address_purpose": "LOCATION",
            "city": "Berne",
            "state": "IN",
            "postal_code": "467111549",
            "country_code": "US",
            "telephone_number": "260-589-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLENKAMP",
        "first_name": "MONICA",
        "middle_name": "MARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Faller, MA/CCC-SLP
• Fort Family Health Inc.
• Fort Recovery Local School District
• Ft Recovery Chiropractic, LLC
• Ft Recovery Family Medicine, Inc
• Amy Lynn Goettemoeller, RPH
• Dawn R Goodwin, RPH
• Grand Lake Eyecare, LLC
• Jodi Grover, NP-C
• Alexis Guggenbiller

• Pharmacist in Fort Recovery, OH
• Providers in Fort Recovery, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.