RICHARD FULLER
NPI 1124635677
Pharmacist in Pensacola, FL

Active since September 29, 2020
2899 N 12TH AVE, PENSACOLA, FL 32503(850) 438-7568(850) 438-0683 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Fuller NPPES

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

RICHARD FULLER (NPI 1124635677) is an individual pharmacist in Pensacola, Florida, licensed in Florida (PS19123) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1124635677
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameRICHARD FULLER
Location Address2899 N 12TH AVEPensacola, FL 32503-4001
Mailing Address2899 N 12th AvePensacola, FL 32503-4001 · (850) 438-7568 · Fax (850) 438-0683
Fax(850) 438-0683
Sole ProprietorYes
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
NPI 1124635677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS19123
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.
2899 N 12TH AVE, Pensacola, FL 32503

Other Identifiers 1

Medicaid103526600FL

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
2899 N 12TH AVE
PENSACOLA, FL 32503
Pharmacy (Community/Retail Pharmacy)
2899 N 12TH AVE
PENSACOLA, FL 32503

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 Richard Fuller's NPI number?

The NPI number for Richard Fuller is 1124635677. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Richard Fuller located?

Richard Fuller practices at 2899 N 12th Ave, Pensacola, FL 32503. The listed phone number is (850) 438-7568.

What is Richard Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Richard Fuller was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.