DR. JOHNATHAN T FULLER PHARM.D.
NPI 1003199233
Pharmacist in Owensboro, KY

Q: What is Johnathan Fuller's NPI number?

The NPI number for Johnathan Fuller is 1003199233. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Q: What is Johnathan Fuller's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Johnathan Fuller was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2011

2318 FREDERICA ST, OWENSBORO, KY 42301(270) 686-7873(270) 686-7864 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Johnathan T Fuller Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNATHAN T FULLER PHARM.D. (NPI 1003199233) is an individual pharmacist in Owensboro, Kentucky, licensed in Kentucky (015034) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1003199233

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. JOHNATHAN T FULLERCredential: PHARM.D.

Location Address2318 FREDERICA STOwensboro, KY 42301-4826

Mailing Address2318 Frederica StOwensboro, KY 42301-4826 · (270) 686-7873 · Fax (270) 686-7864

Phone(270) 686-7873

Fax(270) 686-7864

Sole ProprietorYes

Enumeration DateSeptember 23, 2011

✔ NPI 1003199233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in KY · 015034

Definition

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.

2318 FREDERICA ST, Owensboro, KY 42301

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDIE MOYERS RPH

Pharmacist