FULTON ROAD PHARMACY INC (NPI# 1134203268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134203268 |
| Entity Type | Organization |
| Organization Name | FULTON ROAD PHARMACY INC |
| Other Organization Name | FULTON DRUGS |
| Practice Address |
1657 25th St Nw Canton OH 44709-3421 |
| Practice Telephone | 3304562476 |
| Practice Fax Number | 3304561973 |
| Mailing Telephone | 3304562476 |
| Mailing Fax Number | 3304561973 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | TIMOTHY KINGSBURY (PRESIDENT) |
| Authorized Official Telephone | 3304562476 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021296900 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078516 | 01 | |
| OH | 2286477 | 05 |
| Other Name | Type Code |
|---|---|
| FULTON DRUGS | Doing Business As Name - Organization |
| Street Address |
1657 25TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44709-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568951 | Maria Christina Benson | Pharmacist | 1657 25th St Nw, Canton, OH 44709-3421 | 2020-01-31 |
| 1851856561 | Fulton Pharmacy, Inc. | Pharmacy | 1657 25th St Nw, Canton, OH 44709-3421 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367767 | Canton Family Pharmacy | Pharmacy | 145 N Haggerty Rd, Canton, MI 48187-3901 | 2019-07-02 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1497236533 | Discount Drug Mart Inc | Pharmacy | 2710 Easton St Ne Ste A, Canton, OH 44721-2691 | 2018-08-27 |
| 1356838890 | Hickory Drugs | Pharmacy | 6679 Hickory Flat Hwy, Canton, GA 30115-9225 | 2018-04-19 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1932494473 | Kat International Group Inc | Pharmacy | 1750 Marietta Hwy Ste 260, Canton, GA 30114-8388 | 2011-06-13 |
| 1386941326 | Niemann Foods Inc | Pharmacy | 1805 Elm St, Canton, MO 63435-1685 | 2011-02-25 |
| 1285948588 | Jay Krishna LLC | Pharmacy | 7309 N Lilley Rd, Canton, MI 48187-2457 | 2010-07-29 |
| 1003129982 | Canton Specialty Pharmacy LLC | Pharmacy | 305 N Lilley Rd, Canton, MI 48187-3908 | 2010-07-20 |
| 1992948574 | Healthplus Pharmacy, Inc. | Pharmacy | 49650 Cherry Hill Rd Ste 140, Canton, MI 48187-4857 | 2009-04-13 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on FULTON ROAD PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.