RICHARD FULLER (NPI# 1124635677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635677 |
| Entity Type | Individual |
| Full Name | RICHARD FULLER |
| Practice Address |
2899 N 12th Ave Pensacola FL 32503-4001 |
| Practice Telephone | 8504387568 |
| Practice Fax Number | 8504380683 |
| Mailing Telephone | 8504387568 |
| Mailing Fax Number | 8504380683 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS19123 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103526600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225047277 | Richard L. Fuller | Pharmacist | 1000 Health Center Circle., Pob 540, Kyle, SD 57752-0540 | 2006-08-07 |
| 1801864087 | Richard Bruce Fuller | Dentist | 3324 Promenade Ave, Suite 101, Eagan, MN 55121-2259 | 2006-03-14 |
| 1306841002 | Richard E Fuller | Pediatrics | 4303 Michigan Ave, Manitowoc, WI 54220-3066 | 2005-06-17 |
| 1699028175 | Richard Fuller | Pharmacist | 3950 Union Rd, Cheektowaga, NY 14225-4252 | 2012-10-20 |
| 1396807327 | Richard Fuller | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2006-12-15 |
| 1578572947 | Richard Daniel Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-08-05 |
| 1013963826 | Richard Westwood Fuller | Radiology | 2602 Buford Rd, Richmond, VA 23235-3422 | 2006-05-25 |
| 1376537506 | Richard L Fuller | Ophthalmology | 3545 Lincoln Way E, Suite A, Massillon, OH 44646-8624 | 2005-09-02 |
| Street Address |
2899 N 12TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932275690 | East Hill Pharmacy Inc | Pharmacy | 2899 N 12th Ave, Pensacola, FL 32503-4001 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1003424821 | Susan Mcalpin | Pharmacist | 4350 Bayou Blvd Ste 5, Pensacola, FL 32503-2697 | 2020-07-17 |
| 1164052080 | Kelly Sue Mccurdy | Pharmacist | 3439 N 12th Ave Ste Aandb, Pensacola, FL 32503-4068 | 2020-01-20 |
| 1851940944 | Tuong-my Thi Nguyen | Pharmacist | 1005 Black Walnut Trl, Pensacola, FL 32514-1914 | 2019-09-10 |
| 1609359520 | Alton Wilson | Pharmacist | 640 Calderwood Ct, Pensacola, FL 32534-1190 | 2018-09-07 |
| 1053805499 | Delaney Wren | Pharmacist | 790 Veterans Way Rm 1b119, Pensacola, FL 32507-1000 | 2018-06-19 |
| 1396262283 | Jacob Wayde Corlew | Pharmacist | Naval Hospital Pensacola 6000 Us 98, Pensacola, FL 32512-0001 | 2017-08-23 |
| 1336696061 | Max Edwin Greenlee | Pharmacist | 13400 Valerie Dr, Pensacola, FL 32507-8745 | 2016-09-11 |
| 1598119844 | Matthew Jean Savoie | Pharmacist | 8141 Heirloom Dr, Pensacola, FL 32514-3999 | 2016-04-22 |
| 1902275837 | Rx View, LLC | Pharmacist | 713 Alfonso St, Pensacola, FL 32505-1501 | 2015-09-22 |
| Find all providers in PENSACOLA | ||||
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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.