JOHN MARTIN FULLER NPI 1205434610

NPI Information

NPI: 1205434610
Provider Name: JOHN MARTIN FULLER
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
100 RIDGE RD
VERSAILLES, KY
ZIP 40383
Phone: (859) 229-4674
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John Martin Fuller is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Versailles, KY. The provider is 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. John Martin Fuller NPI is 1205434610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 RIDGE RD
VERSAILLES, KY
ZIP 40383-333
Phone: (859) 229-4674

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	009884	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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