Amanda McCullough, PHARM. D., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03136135 Issued in OH

Practice address

12395 McCracken Rd Ste H
Garfield Heights, OH 44125-2946

Phone

(216) 504-3646

Fax

(216) 332-0799

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1124639067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 BROOKLYN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093805",
            "telephone_number": "216-390-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE H",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252946",
            "telephone_number": "216-504-3646",
            "fax_number": "216-332-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Seven Hills",
            "state": "OH",
            "postal_code": "441315601",
            "country_code": "US",
            "telephone_number": "216-901-9782",
            "fax_number": "216-901-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "AMANDA",
        "credential": "PHARM. D., R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03136135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandeja Monique Maynor
• Morgan Marie McClain
• Erika Lynn McClelland, LSW
• Nicole McCorkindale, PHARMD, BCPS
• Julian McCoy
• Meredith R McDonald, AA-S
• Chiara McGowan
• Marta McGraw, PT
• Cathleen McLaughlin, LSW
• Kiya La Trice McMichael

• Pharmacist in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.