KATELYN FULLER (NPI# 1477183424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477183424 |
| Entity Type | Individual |
| Full Name | KATELYN FULLER |
| Credential | PHARMD |
| Practice Address |
3094 Watson Blvd Warner Robins GA 31093-8500 |
| Mailing Address |
509 Toomer Rd Perry GA 31069-8301 |
| Practice Telephone | 4789712340 |
| Practice Fax Number | 4789712345 |
| Mailing Telephone | 4783966266 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH029862 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046953 | Katelyn Fuller | Registered Nurse | 201 State Street, Erie, PA 16550 | 2016-03-25 |
| Street Address |
3094 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932393550 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2007-08-28 |
| 1922631035 | Benjamin Thompson Grimes | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-02-17 |
| 1912539206 | James Allen Smith | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-02-05 |
| 1447702709 | Tlc of Georgia LLC | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2016-11-02 |
| 1114374170 | Delores Hinton Weldon | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2016-05-19 |
| 1881061893 | Julia Elizabeth Thompson | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2015-08-25 |
| 1154587798 | Stacy Bankston Kalch | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891849 | Kaitlin Mcguffin | Pharmacist | 115 Richard B Russell Pkwy, Warner Robins, GA 31088-6175 | 2020-01-27 |
| 1881294908 | Tej R Patel | Pharmacist | 1544 Watson Blvd, Warner Robins, GA 31093-3432 | 2020-10-28 |
| 1922631035 | Benjamin Thompson Grimes | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
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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.