Individual provider Active NPI

Patrick Michael McCullor, RPH

  • Pharmacist
  • Batavia, NY
National Provider Identifier
1124209218
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047561 Issued in NY
Practice address
601 E Main St
Batavia, NY 14020-2827
Phone
(585) 343-5662
Fax
(585) 343-7480
NPI assigned
Nov 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047561 NY Primary

Addresses

Primary practice location

601 E Main St
Batavia, NY 14020-2827

Mailing address

601 E Main St
Batavia, NY 14020-2827
Phone (585) 343-5662

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
047561NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Community Pharmacy Inc. Current Accepting new patients
Eckerd Corporation Past Accepting new patients
Eckerd Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1124209218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202827",
            "telephone_number": "585-343-5662",
            "fax_number": "585-343-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202827",
            "telephone_number": "585-343-5662",
            "fax_number": "585-343-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOR",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.