JACOB FULTON PHARMD
NPI 1093315814
Pharmacist in Huntley, IL

Active since October 30, 2020
12300 SOUTH ILLINOIS ROUTE 47, HUNTLEY, IL 60142 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Fulton Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB FULTON PHARMD (NPI 1093315814) is an individual pharmacist in Huntley, Illinois, licensed in Illinois (051.292753) and active in the NPI registry since October 2020. He maintains a secondary practice location in Huntley.

NPPES Registry Identity

NPI1093315814
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACOB FULTONCredential: PHARMD
Location Address12300 SOUTH ILLINOIS ROUTE 47Huntley, IL 60142-9634
Mailing Address12490 Glazier StHuntley, IL 60142-6075 · (563) 340-6830
Sole ProprietorNo
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 27, 2020
NPI 1093315814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.292753
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
12300 SOUTH ILLINOIS ROUTE 47, Huntley, IL 60142

Secondary Practice Location 1

Location 112300 S Il Route 47Huntley, IL 60142-9634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fulton's NPI number?

The NPI number for Jacob Fulton is 1093315814. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Jacob Fulton located?

Jacob Fulton practices at 12300 South Illinois Route 47, Huntley, IL 60142.

What is Jacob Fulton's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacob Fulton was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.