Fulton Pharmacy Inc
Fulton Pharmacy Inc is a healthcare organization registered as Pharmacy in Grand Rapids, MI, holding Type 2 (organization) NPI 1093704371 since 2005. The authorized official on file is Suzanne Anthony, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093704371 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fulton Pharmacy Inc |
| Practice address | 738 W FULTON ST, Grand Rapids, MI, 49504 |
| Phone | 6162931258 |
| Enumeration date | 2005-10-19 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Suzanne Anthony |
|---|---|
| Title | Vice President |
| Phone | 6167912014 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Primary | 5301005576 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4734275 | Medicaid | MI | — |
| 2348678 | Other | — | NABP |
| 2348678 | Medicaid | MI | — |
Copy-ready billing details
Provider: Fulton Pharmacy Inc NPI: 1093704371 Taxonomy: 333600000X (Pharmacy) Address: 738 W FULTON ST, Grand Rapids, MI, 49504
Verify this record
Cross-check NPI 1093704371 against the authoritative CMS record: view Fulton Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Fulton Pharmacy Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.