SALLY SUZANNE FULLENKAMP PHARM D.
NPI 1124303250
Pharmacist in La Vista, NE

Active since October 20, 2011
10314 FLORENCE CIR, LA VISTA, NE 68128(402) 504-9932 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sally Suzanne Fullenkamp Pharm D. NPPES

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

SALLY SUZANNE FULLENKAMP PHARM D. (NPI 1124303250) is an individual pharmacist in La Vista, Nebraska, licensed in Missouri (2007028067) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1124303250
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSALLY SUZANNE FULLENKAMPCredential: PHARM D.
Location Address10314 FLORENCE CIRLa Vista, NE 68128-2372
Mailing Address10314 Florence CirLa Vista, NE 68128-2372 · (402) 504-9932
Sole ProprietorNo
Enumeration DateOctober 20, 2011
NPI 1124303250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MO · 2007028067 Licensed in NE · 13121
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.
10314 FLORENCE CIR, La Vista, NE 68128

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 Sally Fullenkamp's NPI number?

The NPI number for Sally Fullenkamp is 1124303250. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Sally Fullenkamp located?

Sally Fullenkamp practices at 10314 Florence Cir, La Vista, NE 68128. The listed phone number is (402) 504-9932.

What is Sally Fullenkamp'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 Sally Fullenkamp was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.