Monica Mary Fullenkamp, PHARMD
Individual provider Active NPI Pharmacist · Fort Recovery, OH
NPI 1831838523 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1831838523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03440913 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03440913 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaup Pharmacy, Inc. | Past | Accepting new patients | |
| Kaup Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03440913 | OH | Yes |
Addresses
Primary practice location
102 N Wayne St
Fort Recovery, OH 45846-8059
Mailing address
2082 Saint Peter Rd
Fort Recovery, OH 45846-9705
Phone (419) 763-9591
Other practice location 1
366 W Deerfield Rd
Union City, IN 47390-1039
Phone (765) 964-3098
Other practice location 2
104 W Main St
Berne, IN 46711-1549
Phone (260) 589-3330
Other providers in Fort Recovery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.