Mary Ann McClucas, PHARM.D.
Individual provider Active NPI Pharmacist · Charlotte, NC
NPI 1124149679 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1124149679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPI000088 (PA)
- Practice address
- 7735 N Tryon St
Charlotte, NC 28262-3498 - Phone
- (704) 547-0972
- Fax
- (704) 548-8369
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30323 | NC | MD | Pharmacist |
| RP439281 | PA | MD | Pharmacist |
| RPI000088 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30323 | NC | |
| Pharmacist | 183500000X | RP439281 | PA | |
| Pharmacist | 183500000X | RPI000088 | PA | Yes |
Addresses
Primary practice location
7735 N Tryon St
Charlotte, NC 28262-3498
Mailing address
607 Baucom Deese Rd
Monroe, NC 28110-8782
Phone (814) 233-9336
Other providers in Charlotte, NC
- Ashley McCleskey
- Lagina M McClinton
- McCloud Acosta Clinical Services PLLC
- Rebecca McClough
- Sarah E. McCloy
- Diane McClung
- Joseph Michael McClung
- Daniel McClure
- Kathleen McClure
- Kristen McClure
All providers in Charlotte, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.