Active NPI
Jennifer McFaddin Fuller, PHARMD
- Pharmacist
- Smyrna, TN
National Provider Identifier
1194869438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10875
- Practice address
- 608 Enon Springs Rd E
Smyrna, TN 37167-4410 - Phone
- (615) 220-5432
- Fax
- (615) 220-5115
- NPI assigned
- Feb 19, 2007
- 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 | 10875 | TN | Primary |
Addresses
Primary practice location
608 Enon Springs Rd E
Smyrna, TN 37167-4410
Mailing address
402 Cambridge Rd
Lebanon, TN 37087-4208
Phone (615) 453-8316
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 |
|---|---|---|---|
| 10875 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194869438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 CAMBRIDGE RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874208",
"telephone_number": "615-453-8316",
"fax_number": "615-220-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 ENON SPRINGS RD E",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371674410",
"telephone_number": "615-220-5432",
"fax_number": "615-220-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "JENNIFER",
"middle_name": "MCFADDIN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "10875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- 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.