Provider Demographics
NPI:1801131107
Name:FUGIT, ANN MARIE (PHARMD, BCACP)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:FUGIT
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:WIESNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2100 STANTONSBURG RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2818
Mailing Address - Country:US
Mailing Address - Phone:252-847-8031
Mailing Address - Fax:252-847-8061
Practice Address - Street 1:2470 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7210
Practice Address - Country:US
Practice Address - Phone:252-847-3000
Practice Address - Fax:252-847-1383
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022096151835P2201X
NC257191835P2201X
KY0137731835P2201X
NC7002751835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care