Fulton Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022727 Issued in NY

Legal business name

FULTON PHARMACY INC

Practice address

2818 Fulton St
Brooklyn, NY 11207-2608

Phone

(718) 235-6394

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Landes

Title

President

Phone

(718) 235-6394

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841200508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072608",
            "telephone_number": "718-235-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-235-6394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fulton Dental PC
• Fulton Drugs Inc
• Fulton Mall Pharmacy Inc
• Fulton Medical Group PC
• Fulton Medical Plaza, P.C.
• Fulton RX Inc.
• Fulton St Pharmacy Inc
• Fulton Vision Center LLC
• Fulton Vision Center, Inc.
• Fulton Vision Express, LLC

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.