Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Renate Selene Fuller, RPH

Pharmacist in Port Jefferson Station, NY · enumerated 2007 · practices at Walgreen Co.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184807117

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Registry record

Entity type Individual (Type 1)

Name Renate Selene Fuller

Credential RPH

Sex Female

Practice address 518 Jefferson Plz, Port Jefferson Station, NY, 11776

Phone (631) 476-8334

Fax (631) 476-0749

Enumeration date Dec 13, 2007

Last updated in NPPES Sep 6, 2009

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 048137 (NY) Primary

RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential

Other identifiers

Identifier	Type	State	Issuer
01869410	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Renate Fuller practice?

The practice location on file with NPPES is in Port Jefferson Station, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Renate Fuller?

The National Provider Identifier (NPI) for Renate Fuller is 1184807117, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Renata Conte Pharmacist · Port Jefferson Station, NY NPI 1871775916 Walgreen Co Pharmacy · Port Jefferson Station, NY NPI 1588189369

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-06.