FULLER AVENUE PHARMACY
NPI 1922109214
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Q: What is Fuller Avenue Pharmacy's NPI number?

The NPI number for Fuller Avenue Pharmacy is 1922109214. It was assigned to this organization in the NPPES registry on September 26, 2006.

Q: What is Fuller Avenue Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 26, 2006

2355 FULLER AVE NE, GRAND RAPIDS, MI 49505(616) 363-3889 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fuller Avenue Pharmacy NPPES

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

FULLER AVENUE PHARMACY (NPI 1922109214) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Michigan and active in the NPI registry since September 2006. The organization lists Jack Almassian, Owner, as its authorized official.

NPPES Registry Identity

NPI1922109214

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFULLER AVENUE PHARMACY

Location Address2355 FULLER AVE NEGrand Rapids, MI 49505-4367

Mailing Address2355 Fuller Ave NeGrand Rapids, MI 49505-4367 · (616) 363-3889

Phone(616) 363-3889

Organization SubpartNo

Authorized OfficialJack AlmassianOwner · (616) 363-3889

Enumeration DateSeptember 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922109214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301002349

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

2355 FULLER AVE NE, Grand Rapids, MI 49505

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Other Identifiers 1

Other5301002349MI · State License Number

Other Providers at the Same Location NPPES

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

JACK ALMASSIAN

Pharmacist

2355 FULLER AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 363-3889

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 Fuller Avenue Pharmacy's NPI number?

The NPI number for Fuller Avenue Pharmacy is 1922109214. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Fuller Avenue Pharmacy located?

Fuller Avenue Pharmacy is located at 2355 Fuller Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 363-3889.

What is Fuller Avenue Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Fuller Avenue Pharmacy was last updated on August 22, 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.