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

Renate Selene Fuller, RPH

Individual provider Pharmacist · NPI 1184807117

Renate Selene Fuller, RPH is a Pharmacist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

518 Jefferson Plz
Port Jefferson Station, NY 11776-1104
Phone: (631) 476-8334
Fax: (631) 476-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 048137 (NY)

Record details

NPI number1184807117
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 13, 2007
Last updated in NPPESSeptember 6, 2009

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