Active NPI
Careen Elizabeth Fullerton, PHARM D.
- Pharmacist
- Pollok, TX
National Provider Identifier
1417397936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53171
- Practice address
- 6844 N US Highway 69
Pollok, TX 75969-4548 - Phone
- (936) 853-8804
- NPI assigned
- Jun 28, 2013
- Last updated
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 53171 | TX | Primary |
Addresses
Primary practice location
6844 N US Highway 69
Pollok, TX 75969-4548
Mailing address
212 Green MDWS
Lufkin, TX 75904-5538
Phone (830) 456-6180
Other names 1
- Careen Elizabeth Lemeilleur
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 |
|---|---|---|---|
| 53171 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1417397936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 GREEN MDWS",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045538",
"telephone_number": "830-456-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6844 N US HIGHWAY 69",
"city": "POLLOK",
"state": "TX",
"postal_code": "759694548",
"telephone_number": "936-853-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLERTON",
"first_name": "CAREEN",
"middle_name": "ELIZABETH",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAREEN",
"last_name": "LEMEILLEUR",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pollok, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.