NICOLE MCCULLOUGH (NPI# 1952881294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952881294 |
Entity Type | Individual |
Full Name | NICOLE MCCULLOUGH |
Credential | PHARMD |
Practice Address |
400 Butler Cmns Butler PA 16001-2496 |
Mailing Address |
102 Robin Dr Kittanning PA 16201-3434 |
Practice Telephone | 7242827722 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP440048 | PA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457852725 | Nicole Realle Mccullough | Counselor | 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 | 2018-02-22 |
Street Address |
400 BUTLER CMNS |
City | BUTLER |
State | PA |
Zip Code | 16001-2496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184667537 | Ann C. Allison | Optometrist | 400 Butler Cmns, Vision Center 1885, Butler, PA 16001-2496 | 2006-06-14 |
1295206472 | Jcmod LLC | Optometrist | 400 Butler Cmns, Butler, PA 16001-2496 | 2018-12-16 |
1851878748 | Brandi Shayne Roman | Optometrist | 400 Butler Cmns, Butler, PA 16001-2496 | 2018-07-24 |
1235372525 | Allison Eye Care LLC | Optometrist | 400 Butler Cmns, Vision Center, Butler, PA 16001-2496 | 2009-04-15 |
1952472433 | Timothy J Smicker | Optometrist | 400 Butler Cmns, Butler, PA 16001-2496 | 2006-11-13 |
1588745954 | Wal-mart Stores East, Lp | Technician/Technologist | 400 Butler Cmns, Butler, PA 16001-2496 | 2006-10-18 |
1225055387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 400 Butler Cmns, Butler, PA 16001-2496 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
Find all providers in zip 16001 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184109423 | Daniel Evan Fitzgerald | Pharmacist | 325 New Castle Rd, Butler, PA 16001-2418 | 2018-10-02 |
1720331838 | David Portman | Pharmacist | 325 New Castle Rd, Butler, PA 16001-2418 | 2012-10-26 |
1356631311 | Ashley Marie Craig | Pharmacist | 325 New Castle Rd, Butler, PA 16001-2418 | 2011-04-12 |
1649503848 | Brandi Kennedy Lumley | Pharmacist | 325 New Castle Rd, Pharmacy Department, Butler, PA 16001-2418 | 2009-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466780 | Rhonda Sue Wible | Pharmacist | 134 Overlook Dr, Franklin, PA 16323-4412 | 2020-10-28 |
1235743170 | Himaswetha Bharatha | Pharmacist | 5610 Derry St, Harrisburg, PA 17111-3518 | 2020-09-08 |
1295355030 | Nur Kazzaz | Pharmacist | 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 | 2020-04-22 |
1659900728 | Joseph Paul Nemetz | Pharmacist | 738 Shady Ave, Sharon, PA 16146-3149 | 2020-04-02 |
1437786969 | Leah Marron Rapp | Pharmacist | 30 Pinnacle Dr Ste 103, Clarion, PA 16214-3800 | 2020-03-25 |
1437780913 | Peter Hallisey | Pharmacist | 565 Coal Valley Rd Dept Of, Clairton, PA 15025-3703 | 2020-02-03 |
1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
1033693270 | Eric Abanquah | Pharmacist | 120 Fifth Avenue, Fap-1456, Pittsburgh, PA 15222 | 2018-09-24 |
1164903381 | Suzanne Scott Giyanani | Pharmacist | 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 | 2018-08-25 |
Find all providers with the same taxonomy |
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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.