Fulton Pharmacy, LLC
Fulton Pharmacy, LLC is a healthcare organization registered as Community/Retail Pharmacy in Frederick, MD, holding Type 2 (organization) NPI 1639109473 since 2006. The authorized official on file is Michael Westbrook, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639109473 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fulton Pharmacy, LLC |
| Other name | <Unavail> |
| Practice address | 236 N MARKET ST, Frederick, MD, 21701 |
| Phone | 3016624848 |
| Fax | 3016200668 |
| Enumeration date | 2006-07-04 |
| Last updated in NPPES | 2019-07-17 |
Authorized official
| Name | Michael Westbrook |
|---|---|
| Title | President |
| Phone | 3016624848 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | P04757 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419818200 | Medicaid | MD | — |
| 2033055 | Other | — | PK |
Copy-ready billing details
Provider: Fulton Pharmacy, LLC NPI: 1639109473 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 236 N MARKET ST, Frederick, MD, 21701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700350956 | Mallory Cortis | Individual | Pharmacist | Frederick, MD |
| 1205412384 | Darci Eubank | Individual | Pharmacist | Frederick, MD |
| 1497521744 | Susan Bird | Individual | Pharmacist | Frederick, MD |
| 1508617838 | Fulton Pharmacy, LLC | Organization | Long Term Care Pharmacy | Frederick, MD |
Verify this record
Cross-check NPI 1639109473 against the authoritative CMS record: view Fulton Pharmacy, LLC 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, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-07-17.