DR. MATTHEW ALTON FULLER PHARMD
NPI 1629678404
Pharmacist in South Jordan, UT

Active since October 29, 2020
11328 S JORDAN GTWY, SOUTH JORDAN, UT 84095(801) 553-2270 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Alton Fuller Pharmd NPPES

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

DR. MATTHEW ALTON FULLER PHARMD (NPI 1629678404) is an individual pharmacist in South Jordan, Utah, licensed in Utah (6862534) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1629678404
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MATTHEW ALTON FULLERCredential: PHARMD
Location Address11328 S JORDAN GTWYSouth Jordan, UT 84095-4112
Mailing Address11328 S Jordan GtwySouth Jordan, UT 84095-4112
Sole ProprietorNo
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1629678404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 6862534
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.
11328 S JORDAN GTWY, South Jordan, UT 84095

Other Providers at the Same Location NPPES 6

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

Pharmacist
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095
Pharmacist
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095
Optometrist
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095
Pharmacy (Community/Retail Pharmacy)
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095
Eyewear Supplier
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095
Pharmacist
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095

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 Matthew Fuller's NPI number?

The NPI number for Matthew Fuller is 1629678404. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Matthew Fuller located?

Matthew Fuller practices at 11328 S Jordan Gtwy, South Jordan, UT 84095. The listed phone number is (801) 553-2270.

What is Matthew 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 Matthew Fuller was last updated on October 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.