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

Travis Fuller, PHARMD

Individual provider Pharmacist · NPI 1457687907

Travis Fuller, PHARMD is a Pharmacist in Southport, North Carolina. Practices as a sole proprietor. Licensed in Colorado and North Carolina.

Licensed in
CO, NC
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

5098 Southport Supply Rd SE
Southport, NC 28461-8746
Phone: (303) 333-4678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20363 (NC)
Pharmacist Taxonomy 183500000X · Licence 21004 (CO)

Record details

NPI number1457687907
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 19, 2009
Last updated in NPPESDecember 18, 2022
Certification dateDecember 18, 2022

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