Taryn Fullom

Primary specialty

PharmacistTaxonomy code 183500000X

License

03445576 Issued in OH

Practice address

1320 W Main St
Newark, OH 43055-3699

Phone

(220) 564-4152

NPI assigned

Jul 9, 2025

Sex

Unspecified or another gender identity

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

State licenses

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093606071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SNOWTIP LN",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231791",
            "telephone_number": "567-204-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553699",
            "telephone_number": "220-564-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLOM",
        "first_name": "TARYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03445576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Frye, LISW
• Courtney Fullenkamp, P.T.
• Matthew David Fuller, PHARMD
• Merlane C Fuller, LISW
• Ashley Fullmer
• Brin Fulton
• Kallie Gaddis
• William Roy Gaddis III, PHARMD
• John Lewis Gallaher IV, D.C.
• Gloria M Galloway, MD

• Pharmacist in Newark, OH
• Providers in Newark, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.