Michael Fuller, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18809 Issued in IA

Practice address

2545 E Euclid Ave
Des Moines, IA 50317-6099

Phone

(515) 745-7420

NPI assigned

May 18, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakland Pharmacy Inc

  • Community/Retail Pharmacy
  • Oakland, IA
  • NPI 1437212149
  NPD Authorized official
• Bert'S Drug Inc

  • Long Term Care Pharmacy
  • Hastings, NE
  • NPI 1144019829
  NPD Authorized official
• Berts Drug Inc

  • Community/Retail Pharmacy
  • Hastings, NE
  • NPI 1548281595
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1003480575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176099",
            "telephone_number": "515-745-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176099",
            "telephone_number": "515-745-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Fuchs, M.D.
• Lisa Fuchs, PT
• Abby Fuller, DO
• Adam Fredrick Fuller, DDS
• C Fredrick Fuller
• Stephanie Fuller, LMSW
• Steven Craig Fuller, DDS
• Teresa Lorraine Fuller, DO
• Tyler Fulton, OD
• Kevin James Furness, D.O.

• Pharmacist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.