TRAVIS FULLER PHARMD
NPI 1457687907
Pharmacist in Southport, NC

Active since October 19, 2009
5098 SOUTHPORT SUPPLY RD SE, SOUTHPORT, NC 28461(303) 333-4678 Get Directions Write a Review

NPPES record last updated: December 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2022, Jun 17, 2020 (2 updates tracked since 2020).

About Travis Fuller Pharmd NPPES

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

TRAVIS FULLER PHARMD (NPI 1457687907) is an individual pharmacist in Southport, North Carolina, licensed in North Carolina (20363) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1457687907
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTRAVIS FULLERCredential: PHARMD
Location Address5098 SOUTHPORT SUPPLY RD SESouthport, NC 28461-8746
Mailing Address5098 Southport Supply Rd SeSouthport, NC 28461-8746 · (910) 457-1463
Sole ProprietorYes
Enumeration DateOctober 19, 2009
Last NPPES UpdateDecember 18, 20222 updates tracked since enumeration
NPPES CertifiedDecember 18, 2022
NPI 1457687907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in NC · 20363 Licensed in CO · 21004
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.
5098 SOUTHPORT SUPPLY RD SE, Southport, NC 28461

Other Providers at the Same Location NPPES 4

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

Pharmacist
5098 SOUTHPORT SUPPLY RD SE
SOUTHPORT, NC 28461
Pharmacist
5098 SOUTHPORT SUPPLY RD SE
SOUTHPORT, NC 28461
Pharmacy
5098 SOUTHPORT SUPPLY RD SE
SOUTHPORT, NC 28461
Pharmacist
5098 SOUTHPORT SUPPLY RD SE
SOUTHPORT, NC 28461

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 Travis Fuller's NPI number?

The NPI number for Travis Fuller is 1457687907. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Where is Travis Fuller located?

Travis Fuller practices at 5098 Southport Supply Rd SE, Southport, NC 28461. The listed phone number is (303) 333-4678.

What is Travis 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 Travis Fuller was last updated on December 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.