SUSAN GAYLE FULLER


Address: 1504 S Broadway, Santa Maria, CA 93454-7214
Phone: 8059221747

SUSAN GAYLE FULLER (NPI# 1053782342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053782342
Entity Type Individual
Full Name SUSAN GAYLE FULLER
Credential PHARM D
Practice Address 1504 S Broadway
Santa Maria
CA 93454-7214
Practice Telephone 8059221747
Practice Fax Number 8059256499
Mailing Telephone 8059221747
Mailing Fax Number 8059256499
Enumeration Date 2015-10-12
Last Update Date 2015-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 39973 CA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NABP 363649 01

Other Providers SUSAN FULLER

NPI Name Taxonomy Address Enumeration
1740262120 Susan Kay Fuller Social Worker 2100 W San Marcelo Blvd, Brownsville, TX 78526-1785 2005-11-18
1669090783 Susan Rutkowski Fuller Nurse Practitioner 11911 Us 70 Hwy W, Clayton, NC 27520-2144 2020-07-07
1386920411 Susan Ashley Fuller Registered Nurse 317 Main Street, Eagle Butte, SD 57625 2011-11-03
1205138195 Susan Fuller Registered Nurse 222 Tongass Dr, Sitka, AK 99835-9416 2010-11-26
1013082288 Susan A Fuller Nurse Practitioner 300 Mack Rd, Asheboro, NC 27205-1066 2006-11-22
1366437303 Susan Fuller Nurse Practitioner 601 John St, Suite M318, Kalamazoo, MI 49007-5383 2005-09-15

Office Location

Street Address 1504 S BROADWAY
City SANTA MARIA
State CA
Zip Code 93454-7214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285788760 Chhitu Patel Pharmacist 1504 S Broadway, Santa Maria, CA 93454-7214 2007-01-22
1023668936 J&d Healthsystems, Inc. Pharmacy 1504 S Broadway, Santa Maria, CA 93454-7214 2019-09-13
1245895051 Sagar Premji Asodia Pharmacist 1504 S Broadway, Santa Maria, CA 93454-7214 2019-05-07
1518011097 J&d Healthsystems, Inc. Durable Medical Equipment & Medical Supplies 1504 S Broadway, Santa Maria, CA 93454-7214 2007-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164995825 Virgilia Elizabeth Kennedy Counselor 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 2019-01-05
1891290151 Philbert Ramirez Pandac Behavioral Analyst 1016 East Maint Street, Santa Maria, CA 93454 2018-03-28
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
1306357892 Aklilu Joseph Pharmacist 1700 S. Bradley Rd, Santa Maria, CA 93454 2017-10-24
1225557267 Eric Edward Lofstrand Counselor 1214 S Miller St Ste 11, Santa Maria, CA 93454 2017-09-11
1881112449 Tess Wianecki Physician Assistant 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 2017-09-05
1730603705 Cac Alvin Center Counselor 316 E Mcelhany Ave, Santa Maria, CA 93454 2017-08-01
1174045009 Peter A. Statti Md Inc. Pediatrics 1414 S. Miller St. #12, Santa Maria, CA 93454 2017-07-12
1982143970 Child Abuse Listening Mediation Community/Behavioral Health 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 2017-02-23
1821531344 Maria Isabel Lara Counselor 210 E Enos Dr, Santa Maria, CA 93454 2016-12-01
Find all providers in zip 93454

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy 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.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003370206 Peter Aiad Pharmacist 830 Sloan Ter, Santa Maria, CA 93455-7462 2019-01-22
1457845596 Gibe Geneti Gelan Pharmacist 310 E Mccoy Ln Unit 9b, Santa Maria, CA 93455-1387 2018-06-21
1306357892 Aklilu Joseph Pharmacist 1700 S. Bradley Rd, Santa Maria, CA 93454 2017-10-24
1154853471 Rami Haddadin Pharmacist 1271 W Sonya Ln, Unit 205, Santa Maria, CA 93458-6612 2017-03-28
1013448679 Sherilyn Vanosdol Pharmacist 633 Lewis Rd, Santa Maria, CA 93455-7435 2017-03-24
1548611825 Adriana Munoz Pharmacist 1440 W Beacon Way, Santa Maria, CA 93458-6469 2016-06-28
1942587886 David Russell White Pharmacist 4342 Whitefield Ct, Santa Maria, CA 93455-3551 2011-11-07
1417244153 Karen Osmena Pharmacist 2504 S Broadway, Santa Maria, CA 93454 2011-07-01
1902106867 Robert Vincent Fee Pharmacist 1482 S Broadway, Santa Maria, CA 93454-6914 2010-10-26
1235364233 David Sheiman Pharmacist 1690 N Mcclelland St, Santa Maria, CA 93454-1914 2009-05-19
Find all providers in SANTA MARIA

Competitor

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City SANTA MARIA
Zip Code 93454

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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