DR. DENNIS KEITH FULLER (NPI# 1154341394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154341394 |
| Entity Type | Individual |
| Full Name | DR. DENNIS KEITH FULLER |
| Credential | PHARMD |
| Practice Address |
2300 S Rancho Dr 205 Las Vegas NV 89102-4506 |
| Mailing Address |
4833 Spanish Wells Dr North Las Vegas NV 89031-5545 |
| Practice Telephone | 7023832691 |
| Practice Fax Number | 7023884186 |
| Mailing Telephone | 7026562238 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
10382 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982665675 | Dennis Paul Fuller | Speech-Language Pathologist | 3660 Vista, St Louis, MO 63110 | 2006-03-31 |
| Street Address |
2300 S RANCHO DR 205 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659331387 | Brian Behnam Onbirbak | Internal Medicine | 2300 S Rancho Dr, Las Vegas, NV 89102-4506 | 2006-03-25 |
| 1942335823 | University Medical Center of Southern Nevada | Pharmacy | 2300 S Rancho Dr, Suite 205, Las Vegas, NV 89102-4506 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326516154 | Jonathan Edward Bradbury | Pharmacist | 10448 Raining Sky St, Las Vegas, NV 89178-3540 | 2018-11-09 |
| 1477969152 | Ashley Slocum | Pharmacist | 7354 Stonecott St, Las Vegas, NV 89123-1186 | 2014-07-02 |
| 1528203254 | Joel H Raiman | Pharmacist | 2901 Bernardo Ln, Las Vegas, NV 89102-4054 | 2008-12-09 |
| 1427208818 | Noor Dudekula | Pharmacist | 7151 W Craig, Las Vegas, NV 89129 | 2008-09-23 |
| 1063535136 | Carl David Tunison Jr. | Pharmacist | 8924 Silk Bonnet Ct, Las Vegas, NV 89143-5412 | 2007-04-06 |
| 1477574978 | Gary Sean Goodman | Pharmacist | 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 | 2006-07-21 |
| 1265484844 | Margaret Mary Gordon | Pharmacist | 6654 Universal Ave, Las Vegas, NV 89142-3703 | 2006-05-16 |
| 1942252234 | Gregory John Blackburn | Pharmacist | 2100 Preakness Pass, Las Vegas, NV 89117-5946 | 2006-05-16 |
| 1588646897 | Harvey Brian Riceberg | Pharmacist | 4415 Emerald Ave, Las Vegas, NV 89120-2134 | 2005-11-14 |
| 1528069564 | Emerald B Foster | Pharmacist | 4877 Maiden Court, Las Vegas, NV 89130 | 2005-08-01 |
| Find all providers in LAS VEGAS | ||||
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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.