DR. MATTHEW RYAN FULTON (NPI# 1194167551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194167551 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYAN FULTON |
| Credential | PHARMD |
| Practice Address |
2511 Trimmier Rd Killeen TX 76542-1908 |
| Mailing Address |
2511 Trimmier Rd Suite 100 Killeen TX 76542-1908 |
| Practice Telephone | 2546342370 |
| Practice Fax Number | 2546347185 |
| Mailing Telephone | 2546342370 |
| Mailing Fax Number | 2546347185 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53045 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932277803 | Matthew Norman Fulton | Dentist | 401 N Bridge St, Linden, MI 48451-9789 | 2006-12-01 |
| 1255561775 | Matthew Fulton | Surgery | 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211-1118 | 2009-07-17 |
| 1609814441 | Matthew Bernard Fulton | Anesthesiology | 5115 Bernard Dr Ste 201, Roanoke, VA 24018-4367 | 2006-06-03 |
| Street Address |
2511 TRIMMIER RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705166 | Dean M Logue | Dentist | 2511 Trimmier Rd, Suite 170, Killeen, TX 76542-1908 | 2007-01-16 |
| 1750821633 | Jeanine Avila | Behavior Technician | 2511 Trimmier Rd, Suite 140, Killeen, TX 76542-1908 | 2017-02-27 |
| 1316483340 | Ly Tran | Pharmacist | 2511 Trimmier Rd, Killeen, TX 76542-1908 | 2017-01-14 |
| 1669839544 | Gunnar Frederick Lindfors IIi | Pharmacist | 2511 Trimmier Rd, Suite 100, Killeen, TX 76542-1908 | 2016-01-22 |
| 1174854582 | Anna Sue Gossett | Pharmacist | 2511 Trimmier Rd, Killeen, TX 76542-1908 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| 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 |
|---|---|---|---|---|
| 1033665617 | Shashank Patel | Pharmacist | 2900 South Clear Creek Rd, Killeen, TX 76549 | 2016-09-01 |
| 1528425832 | Cory Waksmunski | Pharmacist | 3801 E Stan Schlueter Loop, Killeen, TX 76542 | 2016-01-19 |
| 1649678772 | Lesha Simmons | Pharmacist | 1106 Ronstan Dr Apt 6, Killeen, TX 76542-1626 | 2014-12-05 |
| 1932426046 | Jason S Tran | Pharmacist | 218 E Avenue B, Killeen, TX 76541-5223 | 2010-04-28 |
| 1669796918 | Sandip Soni | Pharmacist | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2010-03-16 |
| 1306928312 | Jack D. Averyt Jr. | Pharmacist | 2500 Cross Dr, Killeen, TX 76543-5256 | 2006-10-19 |
| 1033120217 | Melissa Raines Sanders | Pharmacist | 2511 Trimmier Rd Ste 100, Killeen, TX 76542-1910 | 2006-08-11 |
| 1033124417 | Cynthia Yin Mun Morinaga | Pharmacist | 2805 Wisteria Ln, Killeen, TX 76549-4981 | 2006-07-31 |
| 1558358192 | The Ke Ha | Pharmacist | 4201 Flamingo Dr, Killeen, TX 76549-4605 | 2005-09-29 |
| 1235730938 | Ruhan Lakhani | Pharmacist | 3404 W Stan Schlueter Loop, Killeen, TX 76549-4705 | 2020-11-08 |
| Find all providers in KILLEEN | ||||
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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.