Active NPI
Christine Anne McCulley, PHARMD
- Pharmacist
- Enterprise, AL
National Provider Identifier
1104405836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20099
- Practice address
- 400 N Edwards St
Enterprise, AL 36330-2584 - Phone
- (334) 347-1202
- NPI assigned
- Apr 8, 2021
- 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 | 20099 | AL | Primary |
Addresses
Primary practice location
400 N Edwards St
Enterprise, AL 36330-2584
Mailing address
303 Millenia St
Enterprise, AL 36330-8599
Other practice location 1
600 Boll Weevil Cir
Enterprise, AL 36330-2715
Phone (334) 347-5353
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 |
|---|---|---|---|
| 20099 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1104405836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MILLENIA ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363308599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N EDWARDS ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302584",
"telephone_number": "334-347-1202"
}
],
"practiceLocations": [
{
"address_1": "600 Boll Weevil Cir",
"address_purpose": "LOCATION",
"city": "Enterprise",
"state": "AL",
"postal_code": "363302715",
"country_code": "US",
"telephone_number": "334-347-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLEY",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.