Active NPI
James Bernard Culp Jr., PHARMACIST
- Pharmacist
- Ellicott City, MD
National Provider Identifier
1073236410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07168
- Practice address
- 4390 Montgomery Rd
Ellicott City, MD 21043-6068 - Phone
- (410) 203-1171
- NPI assigned
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 07168 | MD | Primary |
Addresses
Primary practice location
4390 Montgomery Rd
Ellicott City, MD 21043-6068
Mailing address
4533 Hemlock Cone Way
Ellicott City, MD 21042-5937
Phone (410) 461-3521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1195763 | Other | MD | VACCINATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07168 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1073236410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 HEMLOCK CONE WAY",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210425937",
"telephone_number": "410-461-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 MONTGOMERY RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436068",
"telephone_number": "410-203-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULP",
"first_name": "JAMES",
"middle_name": "BERNARD",
"name_suffix": "Jr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "07168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VACCINATION",
"identifier": "1195763",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.