TRILLIUM SPECIALTY HOSPITAL EAST VALLEY
NPI 1053573154
Pharmacy - Long Term Care Pharmacy in Mesa, AZ

Q: What is Fuller Selle LLC's NPI number?

The NPI number for Fuller Selle LLC is 1053573154. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as Trillium Specialty Hospital East Valley.

Q: What is Fuller Selle LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for Fuller Selle LLC was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 30, 2008

215 S POWER RD, MESA, AZ 85206(408) 985-6992 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Trillium Specialty Hospital East Valley NPPES

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

TRILLIUM SPECIALTY HOSPITAL EAST VALLEY (NPI 1053573154) is a healthcare organization registered as a long term care pharmacy in Mesa, Arizona and active in the NPI registry since June 2008. The organization lists Gary Alexander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053573154

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameFULLER SELLE LLC

Location Address215 S POWER RDMesa, AZ 85206-5235

Mailing Address777 E Sonterra Blvd, Ste 300San Antonio, TX 78258-4246

Phone(408) 985-6992

Organization SubpartNo

Authorized OfficialGary AlexanderCfo · (210) 745-4000

Enumeration DateJune 30, 2008

✔ NPI 1053573154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in AZ · Y004869

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

215 S POWER RD, Mesa, AZ 85206

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Other Names 1

Doing Business AsTrillium Specialty Hospital East Valley

Other Identifiers 1

Other0355392Other Id Number

Other Providers at the Same Location NPPES 20

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

HQ VISION LLC

Ophthalmology

215 S POWER RD, SUITE 112
MESA, AZ 85206

Maricopa County (480) 981-1345

RAFFY A SAFARIAN MD PC

Internal Medicine

215 S POWER RD, SUITE 220
MESA, AZ 85206

Maricopa County (480) 981-2700

DR. ROBERT D GUNNINK DO

Psychiatry & Neurology (Neurology)

215 S POWER RD, SUITE 205
MESA, AZ 85206

Maricopa County (480) 991-0480

HEARTHSTONE HOSPITAL - MESA, LLC

Long Term Care Hospital

215 S POWER RD
MESA, AZ 85206

Maricopa County (480) 985-6992

DR. STANFORD K. MADSEN DDS

Dentist (General Practice)

215 S POWER RD, SUITE # 101
MESA, AZ 85206

Maricopa County (480) 981-8698

HEARTHSTONE HOSPITAL MESA

Skilled Nursing Facility

215 S POWER RD
MESA, AZ 85206

Maricopa County (480) 985-6992

REM MEDICAL ARIZONA LLC

Clinic/Center (Sleep Disorder Diagnostic)

215 S POWER RD, STE 205
MESA, AZ 85206

Maricopa County (480) 218-6222

ASSOCIATED DESERT GASTROENTEROLOGISTS PC

Internal Medicine (Gastroenterology)

215 S POWER RD, # 102
MESA, AZ 85206

Maricopa County (480) 985-9005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fuller Selle LLC's NPI number?

The NPI number for Fuller Selle LLC is 1053573154. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as Trillium Specialty Hospital East Valley.

Where is Fuller Selle LLC located?

Fuller Selle LLC is located at 215 S Power Rd, Mesa, AZ 85206. The listed phone number is (408) 985-6992.

What is Fuller Selle LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Fuller Selle LLC was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.