Healthcare Provider Details

I. General information

NPI: 1801131107
Provider Name (Legal Business Name): ANN MARIE FUGIT PHARMD, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN MARIE WIESNER PHARM.D.

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 STANTONSBURG RD
GREENVILLE NC
27834-7210
US

IV. Provider business mailing address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-3000
  • Fax: 252-847-1383
Mailing address:
  • Phone: 252-847-8031
  • Fax: 252-847-8061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0202209615
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number25719
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number013773
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number700275
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: