Active NPI
Michelle Parker McCullough, PHARMD
- Pharmacist
- Kingston, TN
National Provider Identifier
1073749685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8519
- Practice address
- 106 W Race St
Kingston, TN 37763-2721 - Phone
- (865) 376-5263
- Fax
- (865) 376-3852
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- 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 | 8519 | TN | Primary |
Addresses
Primary practice location
106 W Race St
Kingston, TN 37763-2721
Mailing address
901 Winton Chapel Rd
Rockwood, TN 37854-5517
Phone (865) 354-1841
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8519 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1073749685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WINTON CHAPEL RD",
"city": "ROCKWOOD",
"state": "TN",
"postal_code": "378545517",
"telephone_number": "865-354-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W RACE ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632721",
"telephone_number": "865-376-5263",
"fax_number": "865-376-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "MICHELLE",
"middle_name": "PARKER",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.