DR. MATTHEW A. FULLER (NPI# 1417039470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417039470 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW A. FULLER |
| Credential | PHARM.D. |
| Practice Address |
10000 Brecksville Rd Pharmacy Service 119 (b) Brecksville OH 44141-3204 |
| Practice Telephone | 4405263030 |
| Practice Fax Number | 4405462706 |
| Mailing Telephone | 4405263030 |
| Mailing Fax Number | 4405462706 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
03-2-15158 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946950 | Matthew Fuller | Counselor | 111 Lucky Dr, Ormond Beach, FL 32176-6672 | 2019-05-03 |
| 1992156681 | Matthew Fuller | Student in an Organized Health Care Education/Training Program | 34 Eldor Dr, South Walpole, MA 02071-1020 | 2016-06-24 |
| 1629678404 | Matthew Alton Fuller | Pharmacist | 11328 S Jordan Gtwy, South Jordan, UT 84095-4112 | 2020-10-29 |
| 1043671431 | Matthew John Fuller | Chiropractor | 3727 Buchanan Street, 203, San Francisco, CA 95134 | 2016-03-11 |
| 1457793549 | Matthew David Fuller | Pharmacist | 270 Central Pkwy, Heath, OH 43056-1278 | 2013-07-18 |
| 1396060406 | Matthew Joseph Fuller | Emergency Medicine | University of Utah Hospital, Salt Lake City, UT 84132-0001 | 2010-03-31 |
| Street Address |
10000 BRECKSVILLE RD PHARMACY SERVICE 119 (B) |
| City | BRECKSVILLE |
| State | OH |
| Zip Code | 44141-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159744 | Mary Catherine Borovicka | Pharmacist | 10000 Brecksville Rd, Pharmacy Dept 119(b), Brecksville, OH 44141-3204 | 2005-10-27 |
| 1588964860 | Amy Maya Kamath | Speech-Language Pathologist | 10000 Brecksville Rd, Bldg. 6, Room A208, Brecksville, OH 44141-3204 | 2010-11-02 |
| 1265740146 | Lauren Marie Markan | Pharmacist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-09-14 |
| 1578876678 | John Stone | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-07-16 |
| 1679886840 | Denise Marie Ciphers | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-07-16 |
| 1699086736 | Dept. of Veteran Affairs | Community Based Residential Treatment Facility, Mental Illness | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-06-23 |
| 1942528781 | Richard D'atri | Clinic/Center | 10000 Brecksville Rd, Pharmacy 119b, Brecksville, OH 44141-3241 | 2010-05-04 |
| 1750613659 | Jennifer Lynn Stircula | Pharmacist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-02-03 |
| 1972735769 | Susan Marie Ambrose | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2009-08-13 |
| 1053548248 | Catherine Ann Rotolo | Social Worker | 10000 Brecksville Rd, 116a(b), Brecksville, OH 44141-3204 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035541 | Hannah L Barber | Speech-Language Pathologist | Therapy and Wellness Connection, 10245 Brecksville Rd, Brecksville, OH 44141 | 2018-09-05 |
| 1467970111 | Chelsea Kalynn Meng | Clinical Neuropsychologist | 8180 Brecksville Rd # 115, Brecksville, OH 44141 | 2017-09-01 |
| 1790206621 | Bryan James Holtsclaw | Occupational Therapy Assistant | 6638 Mill Rd, Cleveland, Oh, Brecksville, OH 44141 | 2017-06-30 |
| 1518410869 | Metrohealth System | Pharmacy | 9200 Treeworth Boulevard, Brecksville, OH 44141 | 2016-08-03 |
| 1881024230 | Fauzia Javaheri | Counselor | 8315 Settlers Pasge, Brecksville, OH 44141 | 2013-11-22 |
| 1669728473 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste G, Brecksville, OH 44141 | 2012-07-30 |
| 1447497326 | Michelle Emch | Psychiatry & Neurology | 8827 Stover Ln, Brecksville, OH 44141 | 2009-01-14 |
| 1457508046 | Carol Michalak Janotta | Psychologist | 8221 Brecksville Rd., Suite #101, Brecksville, OH 44141 | 2008-08-26 |
| 1457514069 | Kathleen Selby | Occupational Therapist | 10000 Brecksville, Brecksville, OH 44141 | 2008-07-03 |
| 1538343561 | Jeffrey M Augustine | Optometrist | 6960 South Edgerton Road, Brecksville, OH 44141 | 2007-12-27 |
| Find all providers in zip 44141 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235222480 | Bonny L Hawker | Pharmacist | 10000 Brecksville Rd, B-119, Brecksville, OH 44141-3204 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598187346 | Jaclyn Marie Kawsky | Pharmacist | 1745 Lesourd Dr, Beavercreek, OH 45432-2478 | 2014-01-14 |
| 1558635300 | Nichelle Lawrence | Pharmacist | 2920 Harrison Ave, Cincinnati, OH 45211-6724 | 2012-02-25 |
| 1992788327 | Michael Francis Mcnulty | Pharmacist | 3000 Erie St S, Massillon, OH 44646-7976 | 2005-11-21 |
| 1346237021 | Christopher James Thomas | Pharmacist | 2076 Gingerwood Ct, Grove City, OH 43123-3690 | 2005-09-29 |
| 1447243290 | Nicholas Anthony Votolato | Pharmacist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2005-08-26 |
| 1982202289 | Matthew Dick | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-09 |
| 1619591500 | Jessica Ann Liszka | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-05 |
| 1982256715 | Brandy Morgan Thacker | Pharmacist | 43 E Main St Ste 113, Amelia, OH 45102-1993 | 2019-07-11 |
| 1821563404 | Heather Lynn Carey | Pharmacist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2018-10-10 |
| 1154854180 | Jennifer Richad | Pharmacist | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
| City | BRECKSVILLE |
| Zip Code | 44141 |
Please comment or provide details below to improve the information on DR. MATTHEW A. 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.