WENDELL FULLER


Address: 4149 Highline Blvd, Suite 300, Oklahoma City, OK 73108-2103
Phone: 8009409963

WENDELL FULLER (NPI# 1053761056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053761056
Entity Type Individual
Full Name WENDELL FULLER
Credential PHARM.D.
Practice Address 4149 Highline Blvd
Suite 300
Oklahoma City
OK 73108-2103
Practice Telephone 8009409963
Practice Fax Number 8669621782
Mailing Telephone 8009409963
Mailing Fax Number 8669621782
Enumeration Date 2016-06-21
Last Update Date 2016-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 13645 OK Pharmacy Service Providers

Office Location

Street Address 4149 HIGHLINE BLVD
SUITE 300
City OKLAHOMA CITY
State OK
Zip Code 73108-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760503361 Cherie Denise Box Counselor 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2007-04-02
1962980615 Danielle Hayes Reseck Student in an Organized Health Care Education/Training Program 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2018-08-04
1467960229 Jacquira Dillard Peer Specialist 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2018-01-16
1295185205 Donya Cuff Pharmacy Technician 4149 Highline Blvd, Suite 300, Oklahoma City, OK 73108-2103 2016-06-21
1619313954 Southern Oklahoma Treatment Services, Inc Community/Behavioral Health 4149 Highline Blvd, Suite 400, Oklahoma City, OK 73108-2103 2013-05-14
1700221843 Southeastern Oklahoma Family Services, Inc Community/Behavioral Health 4149 Highline Blvd, Suite 390,400, Oklahoma City, OK 73108-2103 2013-05-02
1962846733 Terrance Mitchell Counselor 4149 Highline Blvd, Suite 390, Oklahoma City, OK 73108-2103 2013-04-24
1114266442 Melanie A Morriss Counselor 4149 Highline Blvd, Suite 390, Oklahoma City, OK 73108-2103 2013-02-06
1639413156 Andre Daughty Counselor 4149 Highline Blvd, Suite 390,400, Oklahoma City, OK 73108-2103 2012-11-21
1033462205 Dominic Carter Counselor 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2012-10-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316477714 Dionna Danielle Weixel Counselor 4341 Will Rogers Parkway, Oklahoma City, OK 73108 2017-06-18
1497205389 Amber Croom Case Manager/Care Coordinator 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 2016-10-04
1063837524 Bobby King Counselor 401 46th St., Oklahoma City, OK 73108 2014-02-20
1104167816 Chad Jeffrey Perry Physical Therapy Assistant 238 Quadrum Drive, Oklahoma City, OK 73108 2013-03-05
1295071918 Avalon Corrections Case Management 400 S. May, Oklahoma City, OK 73108 2012-12-28
1164608790 American Current Care P.a. Clinic/Center 200 Quadrum Drive, Oklahoma City, OK 73108 2008-01-14
1790960672 Fresh Start Counseling Services Inc Community/Behavioral Health 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 2008-01-09
1366644577 Saints Medical Group, LLC Physician Assistant 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 2007-06-01
1902027287 Joel William Corn Family Medicine 1506 S Agnew, Okha City, OK 73108 2007-05-02
1851493944 Good Shepherd Hospice Inc Hospice Care, Community Based 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 2006-09-01
Find all providers in zip 73108

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023618360 Michelle Lam Pharmacist 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 2020-10-27
1871108902 Kayley Jordan Pharmacist 701 W Hefner Rd, Oklahoma City, OK 73114-6836 2020-09-15
1053925735 Jennie Nguyen Pharmacist 519 Nw 23rd St Ste 109, Oklahoma City, OK 73103-1509 2020-09-01
1811527294 Tara Ann Dominguez Pharmacist 3116 Nw 21st St, Oklahoma City, OK 73107-3010 2020-01-24
1730739871 Calven Ngo Pharmacist 4301 S May Ave, Oklahoma City, OK 73119-3275 2019-09-19
1134776891 Talitha Joy Nichols Pharmacist 390 Ne 36th St, Oklahoma City, OK 73105-2508 2019-08-19
1710531595 Dillon Hayden Pharmacist 1122 Ne 13th St Ste 4201c, Oklahoma City, OK 73117-1039 2019-07-30
1225509904 Liza Ann Martinez Pharmacist 3433 Nw 56th St Ste 140b, Oklahoma City, OK 73112-4430 2018-12-06
1215406962 Jonathan Patrick Hanna Pharmacist 11101 Hefner Pointe Dr Ste 101, Oklahoma City, OK 73120-5054 2018-11-23
1689188310 Bryan Ticer Pharmacist 825 Ne 10th St Ste 2a, Oklahoma City, OK 73104-5417 2017-11-16
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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