JOHN MARTIN FULLER (NPI# 1205434610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205434610 |
| Entity Type | Individual |
| Full Name | JOHN MARTIN FULLER |
| Practice Address |
100 Ridge Rd Versailles KY 40383-1333 |
| Practice Telephone | 8592294674 |
| Mailing Telephone | 8592294674 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
009884 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457503468 | John Edward Fuller | Social Worker | 8303 Colesville Rd, Silver Spring, MD 20910-3203 | 2008-10-21 |
| 1003816364 | John Alan Fuller | Obstetrics & Gynecology | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2005-07-28 |
| 1720469174 | John Bryant Fuller | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2015-06-11 |
| 1689072241 | John Fuller | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2014-12-15 |
| 1801817267 | John R Fuller | Urology | 500 Vincent St, Stevens Point, WI 54481-1842 | 2006-07-21 |
| 1093754574 | John Fuller | Emergency Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2006-06-06 |
| Street Address |
100 RIDGE RD |
| City | VERSAILLES |
| State | KY |
| Zip Code | 40383-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037798 | The Nile Ministries Inc | Substance Abuse Rehabilitation Facility | 4185 Lexington Road, Versailles, KY 40383 | 2014-06-11 |
| 1710259932 | Jessica Marie Rucker | Massage Therapist | 260 Crossfield Dr., Unit 2, Versailles, KY 40383 | 2012-02-03 |
| 1154657724 | Steps Ahead, Inc. | Case Manager/Care Coordinator | 500 Limestone Trce, Versailles, KY 40383 | 2009-11-02 |
| 1831393297 | Mary J Watts | Dentist | 230 Frankfort St, Ste 5, Versailles, KY 40383 | 2007-06-12 |
| 1447372263 | Harry M Watts | Dentist | 210 Crossfield Dr, Versailles, KY 40383 | 2007-04-04 |
| 1699824714 | Paula L Everhart | Social Worker | 163 Spring Run St, Versailles, KY 40383 | 2007-01-09 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1588774202 | Eric L Quillen | Dentist | 156 Frankfort Street, Versailles, KY 40383 | 2006-08-30 |
| 1386677599 | Woodford Physical Therapy, Psc | Physical Therapist | 115 C Crossfield Dr., Versailles, KY 40383 | 2006-07-09 |
| 1003845751 | Woodford County | Ambulance | 86 Big Sink Rd, Versailles, KY 40383 | 2006-07-02 |
| Find all providers in zip 40383 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384141 | Ruth Lynn Irvin | Pharmacist | 212 Kroger Way, Versailles, KY 40383-1991 | 2020-04-14 |
| 1497389639 | Sarah Murray | Pharmacist | 212 Kroger Way, Versailles, KY 40383-1991 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1053910976 | Cathy Ramsey Quarles | Pharmacist | 205 Clifty Dr, Frankfort, KY 40601-9500 | 2020-10-21 |
| 1972101434 | Shannon Michelle Brown | Pharmacist | 350 Us 31w Byp, Bowling Green, KY 42101-1770 | 2020-10-15 |
| 1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
| 1417580069 | Amy Remendado Cordero | Pharmacist | 1661 Bypass Rd, Winchester, KY 40391-2715 | 2020-02-21 |
| 1568095909 | Martha Ford | Pharmacist | 375 Crossroads Boulevard, Cold Spring, KY 41076 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 40383 |
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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.