Active NPI
Khalilah Fullard, PHARMD
- Pharmacist
- Sharon, CT
National Provider Identifier
1114309713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.9972
- Practice address
- 50 Hospital Hill Rd
Sharon, CT 06069-2096 - Phone
- (860) 364-4026
- NPI assigned
- Jun 19, 2015
- Last updated
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.9972 | CT | Primary |
Addresses
Primary practice location
50 Hospital Hill Rd
Sharon, CT 06069-2096
Mailing address
50 Hospital Hill Rd
Sharon, CT 06069-2096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.9972 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1114309713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692096",
"telephone_number": "860-364-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLARD",
"first_name": "KHALILAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.9972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
- Essent Healthcare of Connecticut Inc
- Evan P Provisor MD PC (Sharon Surgical Group)
- Expert Pain Management PC
- Jack Finkelstein, MD
- Thomas J Francescott, N.D.
- Glassfish Emergency Physicians LLC
- Andrew Michael Goldman, DO
- Virginia L Gray-Clarke, M.D
- Health Quest Medical Practice, PC
- Health Quest Medical Practice, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.