OrganizationActive
Fuller Selle LLC
NPI 1053573154 · Long Term Care Pharmacy · Mesa, AZ
Fuller Selle LLC is a Long Term Care Pharmacy organization in Mesa, AZ (NPI 1053573154).
Provider details
- NPI number
- 1053573154
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Alexander, Cfo(210) 745-4000
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Institutional Pharmacy3336I0012X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 S Power Rd
Mesa, AZ 85206-5235
Phone: (408) 985-6992
Street-level locationGet directions
Mailing address
777 E Sonterra Blvd
San Antonio, TX 78258-4246
Other names (DBA / former)
- Doing business as
- Trillium Specialty Hospital East Valley
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2008-06-30
Frequently asked questions
- What is Fuller Selle LLC's NPI number?
- Fuller Selle LLC's National Provider Identifier (NPI) is 1053573154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fuller Selle LLC?
- Fuller Selle LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Fuller Selle LLC located?
- Fuller Selle LLC's practice location on file with NPPES is 215 S Power Rd, Mesa, AZ 85206-5235.
- What is Fuller Selle LLC's phone number?
- The practice phone number listed in the NPPES registry for Fuller Selle LLC is (408) 985-6992.
- Who is the authorized official for Fuller Selle LLC?
- The authorized official listed on Fuller Selle LLC's NPPES record is Gary Alexander, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fuller Selle LLC's NPI active?
- Yes — Fuller Selle LLC's NPI (1053573154) is active in the NPPES registry as of the last update on 2008-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.