Daniel R Fuller Jr., PHARMD
Individual provider Active NPI Pharmacist · Moon Township, PA
NPI 1114479102 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1114479102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449801 (PA)
- Practice address
- 7500 Univsersity Blvd.
Moon Township, PA 15108 - Phone
- (412) 893-0143
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449801 | PA | MD | Pharmacist |
| RPI009891 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449801 | PA | Yes |
| Pharmacist | 183500000X | RPI009891 | PA |
Addresses
Primary practice location
7500 Univsersity Blvd.
Moon Township, PA 15108
Mailing address
7500 Univsersity Blvd.
Moon Township, PA 15108
Phone (412) 893-0143
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPI009891 | Other | PA | PENNSYLVANIA BOARD OF PHARMACY |
| RP449801 | Other | PA | PENNSYLVANIA BOARD OF PHARMACY |
Other providers in Moon Township, PA
- Amit Fenton
- Jill Finlan
- Focus on Eyecare LLC
- Heidi Marie Fortwangler-Irr
- Heather L Fritz
- Robert D Fusco
- Joseph E Gatial III
- Reid Clayton Getic
- Giant Eagle Inc
- Global Ophthalmology Under-Z
All providers in Moon Township, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.