MICHAEL MCCULLOCK (NPI# 1821441668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821441668 |
| Entity Type | Individual |
| Full Name | MICHAEL MCCULLOCK |
| Credential | RPH |
| Practice Address |
900 N Madison Blvd Roxboro NC 27573-4545 |
| Practice Telephone | 3365998394 |
| Mailing Telephone | 3365998394 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11800 | NC | Pharmacy Service Providers |
| Street Address |
900 N MADISON BLVD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245333004 | North Carolina Cvs Pharmacy LLC | Pharmacy | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2006-09-07 |
| 1982183703 | Remy Guirguis | Pharmacist | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2018-08-13 |
| 1700170461 | Allison Hope Porterfield | Pharmacist | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2011-05-30 |
| 1124323183 | Deana Russell | Pharmacist | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2011-01-21 |
| 1467761452 | Theodore Clayton Michie | Pharmacist | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2010-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457766164 | Brittany Carver | Pharmacist | 1325 Todd Rd, Roxboro, NC 27574-8243 | 2014-06-23 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1194004119 | Kim Bullock Cowan | Pharmacist | 988 Burlington Rd, Roxboro, NC 27573-5705 | 2011-08-08 |
| 1568693513 | Amanda Reaves Clayton | Pharmacist | 304 N Madison Blvd, Roxboro, NC 27573-5355 | 2009-08-06 |
| 1295965283 | Jamie M Pergerson | Pharmacist | 1049 Durham Rd, Roxboro, NC 27573-6123 | 2009-07-23 |
| 1386867893 | Jeff Carver Fitzgerald | Pharmacist | 605 S Morgan St, Pob 1359, Roxboro, NC 27573-5435 | 2007-04-11 |
| 1851362081 | Community Pharmacy of Roxboro Inc | Pharmacist | 719 N. Main St., Roxboro, NC 27573 | 2006-01-27 |
| 1982183703 | Remy Guirguis | Pharmacist | 900 N Madison Blvd, Roxboro, NC 27573-4545 | 2018-08-13 |
| 1265815443 | Teresa Bradsher Armstrong | Pharmacist | 1005 N Madison Blvd, Roxboro, NC 27573-4529 | 2015-07-07 |
| 1033591987 | Daphne Ashley Hutchins | Pharmacist | 1005 N Madison Blvd, Roxboro, NC 27573-4529 | 2015-06-26 |
| Find all providers in ROXBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.