Kerry-Ann Fuller, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

51990 Issued in TX

Practice address

2400 S Congress Ave
Heb Pharmacy
Austin, TX 78704-5512

Phone

(512) 442-1578

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1962743583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S CONGRESS AVE",
            "address_2": "HEB PHARMACY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045512",
            "telephone_number": "512-442-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CONGRESS AVE",
            "address_2": "HEB PHARMACY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045512",
            "telephone_number": "512-442-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KERRY-ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48685",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ersten Fuller, M.A., LPC
• Jason P. Fuller, D.C.
• Jennifer Quinn Fuller, LPC
• Kaitlyn Fuller, DPT
• Katie Fuller
• Laura Linda Fuller, CCC/SLP, M.S.
• Mia Fuller
• Ralph S. Fuller Jr., DDS
• Rob Alan Fuller, M.D.
• Bradley Dean Fullerton, M.D.

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.