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

Raeanne Fuller, PHARMD

Individual provider Pharmacist · NPI 1962740340

Raeanne Fuller, PHARMD is a Pharmacist in Martinez, California. Licensed in Arizona and California. Registered with an NPI since 2013.

Licensed in
AZ, CA
In the registry since
2013
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

200 Muir Rd
Martinez, CA 94553-4614
Phone: (925) 372-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 71825 (CA)
Pharmacist Taxonomy 183500000X · Licence S019335 (AZ)

Record details

NPI number1962740340
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJanuary 20, 2013
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address4212 N 16th St, Phoenix, AZ 85016-5319

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