Fulton Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027798 Issued in NY

Legal business name

FULTON DRUGS INC

Practice address

1548 Fulton St
Brooklyn, NY 11216-5376

Phone

(718) 735-3784

Fax

(718) 735-6019

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Amad Mirza, RPHNPI 1558513713

Title

Pharmacist

Phone

(718) 986-6177

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• FULTON DRUGS INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amad Anwar Mirza, RPH

  • Pharmacist
  • Albertson, NY
  • NPI 1558513713
  NPD Authorized official
• Vanessa Walker, R.PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1407170582
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1841228210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165376",
            "telephone_number": "718-735-3784",
            "fax_number": "718-735-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165376",
            "telephone_number": "718-735-3784",
            "fax_number": "718-735-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "AMAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-986-6177",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027798",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068216",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02779459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULTON DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Fulmore, LMSW
• Clifford Fulmore, DPT
• Fulton 1St Pharmacy, Inc
• Fulton 1St Pharmacy, Inc
• Fulton Dental PC
• Fulton Mall Pharmacy Inc
• Fulton Medical Group PC
• Fulton Medical Plaza, P.C.
• Fulton Pharmacy Inc
• Fulton RX Inc.

• 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 Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.