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

Dr. Clive Fuller, PHARMD

Individual provider Pharmacist · NPI 1669680997

Dr. Clive Fuller, PHARMD is a Pharmacist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

105 N Bascom Ave Ste 101
San Jose, CA 95128-1811
Phone: (408) 995-6020
Fax: (408) 995-5320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH 43998 (CA)

Record details

NPI number1669680997
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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