TRAVIS FULLER (NPI# 1457687907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457687907 |
| Entity Type | Individual |
| Full Name | TRAVIS FULLER |
| Credential | PHARMD |
| Practice Address |
4545 E 9th Ave Ste 100 Denver CO 80220-3902 |
| Practice Telephone | 3033334678 |
| Mailing Telephone | 3033334678 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21004 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 20363 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922537075 | Travis Fuller | Specialist/Technologist | 400 Old Brandon Rd Apt 903, Hillsboro, TX 76645-2394 | 2017-06-11 |
| Street Address |
4545 E 9TH AVE STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477761906 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4545 E 9th Ave Ste 100, Denver, CO 80220-3902 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188221 | Valerie Madison | Pharmacist | 6138 E Yale Ave, Denver, CO 80222-7063 | 2020-09-10 |
| 1518576990 | Roya P Hossaini | Pharmacist | 2215 E 25th Ave, Denver, CO 80205-5704 | 2020-07-30 |
| 1508483884 | Kimberly Becker | Pharmacist | 3425 Tejon St, Denver, CO 80211-3434 | 2020-07-02 |
| 1699396481 | Henry Anthony Caster Jr. | Pharmacist | 1615 Platte St, Denver, CO 80202-1581 | 2020-05-03 |
| 1699312538 | Andrew E Essington | Pharmacist | 4674 Ireland St, Denver, CO 80249-7324 | 2019-12-10 |
| 1598327785 | Emily Megan Fox | Pharmacist | 6869 Riverwalk Loop Apt 13, Denver, NC 28037-5031 | 2019-07-08 |
| 1295296317 | Jennifer J Cho | Pharmacist | 2535 S Downing St Ste G10, Denver, CO 80210-5853 | 2019-03-29 |
| 1407342199 | Tom D Karlin | Pharmacist | 501 W 44th Ave Unit A, Denver, CO 80216-2611 | 2018-07-05 |
| 1679091797 | Tara Tolbert | Pharmacist | 1890 Wynkoop St Apt 604, Denver, CO 80202-1155 | 2017-09-08 |
| 1801317433 | Thomas Sayre | Pharmacist | 1055 Clermont St Bldg C, Denver, CO 80220-3808 | 2017-07-05 |
| Find all providers in DENVER | ||||
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| 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.