Dennis Keith Fuller, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

10382 Issued in NV

Practice address

2300 S Rancho Dr
205
Las Vegas, NV 89102-4506

Phone

(702) 383-2691

Fax

(702) 388-4186

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154341394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 SPANISH WELLS DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315545",
            "telephone_number": "702-656-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S RANCHO DR",
            "address_2": "205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024506",
            "telephone_number": "702-383-2691",
            "fax_number": "702-388-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NV",
            "license": "10382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Fuller
• Andrew Mackenzie Fuller, CF-SLP
• Anna Fuller
• Brittany Fuller
• Danesha Fuller
• Edward K Fuller, CRNA
• Ester M Fuller
• Hassanah Fuller
• Jada Fuller, CNA
• Jane Marie Fuller, PA-C

• Pharmacotherapy Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacotherapy Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.