Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donovan Fuller, PHARMD

Individual provider Pharmacist · NPI 1972103299

Donovan Fuller, PHARMD is a Pharmacist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Arkansas and Oklahoma.

Licensed in
AR, OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1117 W I 35 Frontage Rd
Edmond, OK 73034-7398
Phone: (405) 757-3802
Fax: (405) 757-3251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14472 (OK)
Pharmacist Taxonomy 183500000X · Licence PD12183 (AR)

Record details

NPI number1972103299
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESApril 30, 2024
Certification dateOctober 27, 2020
Mailing address1117 W I 35 Frontage Rd, Edmond, OK 73034-7398

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