Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sally Suzanne Fullenkamp, PHARMD

Individual provider Pharmacist · NPI 1124303250

Sally Suzanne Fullenkamp, PHARMD is a Pharmacist in LA Vista, Nebraska. Licensed in Missouri and Nebraska. Registered with an NPI since 2011.

Licensed in
MO, NE
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10314 Florence Cir
LA Vista, NE 68128-2372
Phone: (402) 504-9932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2007028067 (MO)
Pharmacist Taxonomy 183500000X · Licence 13121 (NE)

Record details

NPI number1124303250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011
Mailing address10314 Florence Cir, La Vista, NE 68128-2372

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