RENATE SELENE FULLER RPH
NPI 1184807117
Pharmacist in Port Jefferson Station, NY

Active since December 13, 2007
518 JEFFERSON PLZ, PORT JEFFERSON STATION, NY 11776(631) 476-8334(631) 476-0749 Get Directions Write a Review

NPPES record last updated: September 6, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renate Selene Fuller Rph NPPES

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

RENATE SELENE FULLER RPH (NPI 1184807117) is an individual pharmacist in Port Jefferson Station, New York, licensed in New York (048137) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1184807117
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameRENATE SELENE FULLERCredential: RPH
Location Address518 JEFFERSON PLZPort Jefferson Station, NY 11776-1104
Mailing Address5145 Nesconset HwyPort Jefferson Station, NY 11776-2047 · (631) 331-2210
Fax(631) 476-0749
Sole ProprietorNo
Enumeration DateDecember 13, 2007
Last NPPES UpdateSeptember 6, 2009
NPI 1184807117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 048137
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.
518 JEFFERSON PLZ, Port Jefferson Station, NY 11776

Other Identifiers 1

Medicaid01869410NY

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.

Pharmacy
518 JEFFERSON PLZ
PORT JEFFERSON STATION, NY 11776
Pharmacist
518 JEFFERSON PLZ
PORT JEFFERSON STATION, NY 11776

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 Renate Fuller's NPI number?

The NPI number for Renate Fuller is 1184807117. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Renate Fuller located?

Renate Fuller practices at 518 Jefferson Plz, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-8334.

What is Renate 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 Renate Fuller was last updated on September 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.