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NATHAN FULLER
NPI 1790236255
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longmont, CO

Active since October 20, 2016
1611 PACE ST, LONGMONT, CO 80504(303) 776-7590 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Fuller NPPES

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

NATHAN FULLER (NPI 1790236255) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Longmont, Colorado, licensed in Colorado (0021543) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1790236255
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameNATHAN FULLER
Location Address1611 PACE STLongmont, CO 80504-3052
Mailing Address1611 Pace StLongmont, CO 80504-3052 · (303) 776-7590
Phone(303) 776-7590
Sole ProprietorYes
Enumeration DateOctober 20, 2016
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1790236255 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 CO · 0021543
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.
1611 PACE ST, Longmont, CO 80504
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Other Providers at the Same Location NPPES 5

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

KATHRYN QUINBY PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 PACE ST
LONGMONT, CO 80504
Weld County (303) 776-7590
JOY R ROBERTS RPH
Pharmacist
1611 PACE ST
LONGMONT, CO 80504
Weld County (303) 776-7590
MR. GARY G SOULE
Pharmacist
1611 PACE ST
LONGMONT, CO 80504
Weld County (303) 776-7590
DILLON COMPANIES LLC
Pharmacy (Community/Retail Pharmacy)
1611 PACE ST
LONGMONT, CO 80504
Weld County (303) 776-7590
DR. ERIC MANCHESTER PHARMD
Pharmacist
1611 PACE ST
LONGMONT, CO 80504
Weld County (303) 776-7590

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 Nathan Fuller's NPI number?

The NPI number for Nathan Fuller is 1790236255. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Nathan Fuller located?

Nathan Fuller practices at 1611 Pace St, Longmont, CO 80504. The listed phone number is (303) 776-7590.

What is Nathan 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 Nathan Fuller was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.