JOHN MARTIN FULLER
NPI 1205434610
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Versailles, KY

Q: What is John Fuller's NPI number?

The NPI number for John Fuller is 1205434610. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Q: What is John Fuller's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for John Fuller was last updated on October 16, 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.

Active since October 16, 2020

100 RIDGE RD, VERSAILLES, KY 40383(859) 229-4674 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Martin Fuller NPPES

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

JOHN MARTIN FULLER (NPI 1205434610) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Versailles, Kentucky, licensed in Kentucky (009884) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1205434610

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameJOHN MARTIN FULLER

Location Address100 RIDGE RDVersailles, KY 40383-1333

Mailing Address100 Ridge RdVersailles, KY 40383-1333 · (859) 229-4674

Phone(859) 229-4674

Sole ProprietorNo

Enumeration DateOctober 16, 2020

NPPES CertifiedOctober 16, 2020

✔ NPI 1205434610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in KY · 009884

Definition

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.

100 RIDGE RD, Versailles, KY 40383

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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 John Fuller's NPI number?

The NPI number for John Fuller is 1205434610. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Where is John Fuller located?

John Fuller practices at 100 Ridge Rd, Versailles, KY 40383. The listed phone number is (859) 229-4674.

What is John Fuller's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for John Fuller was last updated on October 16, 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.