SUSAN MCKERRALL-FULLER (NPI# 1205137353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205137353 |
| Entity Type | Individual |
| Full Name | SUSAN MCKERRALL-FULLER |
| Credential | PHARMD |
| Practice Address |
2490 N Highway 99w Mcminnville OR 97128-9204 |
| Practice Telephone | 5034353125 |
| Practice Fax Number | 5034353128 |
| Mailing Telephone | 5034353125 |
| Mailing Fax Number | 5034353128 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10867 | OR | Pharmacy Service Providers |
| Street Address |
2490 N HIGHWAY 99W |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336413293 | Mark Parkinson | Pharmacist | 2490 N Highway 99w, Mcminnville, OR 97128-9204 | 2012-02-23 |
| 1043511702 | Vernon Neal Utz Jr. | Pharmacist | 2490 N Highway 99w, Mcminnville, OR 97128-9204 | 2010-11-11 |
| 1851692750 | Phillip Arends | Pharmacist | 2490 N Highway 99w, Mcminnville, OR 97128-9204 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| 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 |
|---|---|---|---|---|
| 1619526092 | Helen Woldemariam | Pharmacist | 448 Ne Highway 99w, Mcminnville, OR 97128-3122 | 2019-09-09 |
| 1003272972 | Donna Roberts Dowell | Pharmacist | 318 N Chancery St, Mcminnville, TN 37110-2048 | 2016-01-07 |
| 1639503063 | Ryan David1 Mitchell | Pharmacist | 603 Sw Baker St, Mcminnville, OR 97128 | 2013-08-21 |
| 1659661767 | Neha Jain | Pharmacist | 1201 N Highway 99w, Mcminnville, OR 97128-2720 | 2011-04-10 |
| 1689963779 | John George Gomes | Pharmacist | 1201 Ne Highway 99w, Mcminnville, OR 97128-2720 | 2011-03-30 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1568767556 | Sara Greer Dodson | Pharmacist | 912 N Chancery St, Mcminnville, TN 37110-1571 | 2011-01-21 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1376157214 | Alyssa Marie Hanus | Pharmacist | 1210 Smithville Hwy, Mcminnville, TN 37110-1678 | 2020-09-08 |
| 1225649601 | Caitlin Mcmahan | Pharmacist | 1410 Sparta St, Mcminnville, TN 37110-1313 | 2020-08-11 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on SUSAN MCKERRALL-FULLER.
| 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.