DONOVAN FULLER PHARMD
NPI 1972103299
Pharmacist in Edmond, OK

Active since October 27, 2020
1117 W I 35 FRONTAGE RD, EDMOND, OK 73034(405) 757-3802(405) 757-3251 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2024, Oct 27, 2020 (2 updates tracked since 2020).

About Donovan Fuller Pharmd NPPES

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

DONOVAN FULLER PHARMD (NPI 1972103299) is an individual pharmacist in Edmond, Oklahoma, licensed in Oklahoma (14472) and active in the NPI registry since October 2020.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1972103299
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDONOVAN FULLERCredential: PHARMD
Location Address1117 W I 35 FRONTAGE RDEdmond, OK 73034-7398
Mailing Address1117 W I 35 Frontage RdEdmond, OK 73034-7398 · (405) 757-3802 · Fax (405) 757-3251
Fax(405) 757-3251
Sole ProprietorYes
Enumeration DateOctober 27, 2020
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1972103299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in OK · 14472 Licensed in AR · PD12183
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.

1117 W I 35 FRONTAGE RD, Edmond, OK 73034

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Eyewear Supplier
1117 W I 35 FRONTAGE RD
EDMOND, OK 73034
Pharmacist
1117 W I 35 FRONTAGE RD
EDMOND, OK 73034
Pharmacist
1117 W I 35 FRONTAGE RD
EDMOND, OK 73034
Hearing Instrument Specialist
1117 W I 35 FRONTAGE RD
EDMOND, OK 73034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972103299, enumerated as an "individual" on October 27, 2020.

The provider is located at 1117 W I 35 FRONTAGE RD EDMOND, OK 73034 and the phone number is (405) 757-3802.

Pharmacist with taxonomy code 183500000X.