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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 39973 | CA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NABP | 363649 | 01 |
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 |
Street Address |
1504 S BROADWAY |
City | SANTA MARIA |
State | CA |
Zip Code | 93454-7214 |
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 |
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 Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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] |
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 |
City | SANTA MARIA |
Zip Code | 93454 |
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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.