Sally Suzanne Fullenkamp, PHARM D.
NPI 1124303250ActiveIndividual· Pharmacist· La Vista, NE
Pharmacist (PHARM D.) in La Vista, Nebraska, licensed in MO and NE, with an NPI issued in October 2011.
Overview
| NPI | 1124303250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM D. |
| Sole proprietor | No |
| NPI issued | Oct 20, 2011 |
| Last updated in NPPES | Oct 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 2007028067 | MO |
| Pharmacist | 183500000X | 13121 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in La Vista
- 1043028491
- 1598604274
- 1427510395
- 1598033284
- 1215563903
- 1164799276
- 1366036584
- 1376165589
- 1669986436
- 1700411063
- 1063768844
- 1285278697