Fulton Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FULTON PHARMACY, INC.

Doing business as

Fulton Drugs

Practice address

1657 25TH St NW
Canton, OH 44709-3421

Phone

(330) 456-2476

Fax

(330) 456-1973

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Kristine A Kingsbury, RPHNPI 1114058567

Title

President

Phone

(330) 832-2226

Specialties & licenses 2

Addresses

Other names 1

• Fulton Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine A Kingsbury, R.PH.

  • Pharmacist
  • Massillon, OH
  • NPI 1114058567
  NPD Authorized official
• Maria Christina Benson, RPH

  • Pharmacist
  • Canton, OH
  • NPI 1215568951
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1851856561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 EAST BLVD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181654",
            "telephone_number": "330-832-2226",
            "fax_number": "330-832-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 25TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093421",
            "telephone_number": "330-456-2476",
            "fax_number": "330-456-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-832-2226",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fulton Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Fulks
• Ashlen Elizabeth Fuller
• Nicole C. Fuller, LPCC-S
• Scott R Fuller, DO
• Katrina E Fulmer, CRNA
• Fulton Road Pharmacy Inc (Fulton Drugs)
• Functional Physical Medicine Associates LLC
• Sabrina L Funk, AGACNP
• Thomas J Funk, PCC
• Veldo Funwie

• Pharmacy in Canton, OH
• Providers in Canton, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.