Active NPI
Michael Shullo, BS, PHARM.D.
- Pharmacotherapy Pharmacist
- Pittsburgh, PA
National Provider Identifier
1144350695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RP-41828L
- Practice address
- 200 Lothrop Street
Department of Pharmacy and Therapeutics
Pittsburgh, PA 15213 - Phone
- (412) 864-3776
- NPI assigned
- Mar 6, 2007
- Last updated
- Apr 3, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP-41828L | PA | Primary |
Addresses
Primary practice location
200 Lothrop Street
Department of Pharmacy and Therapeutics
Pittsburgh, PA 15213
Mailing address
200 Lothrop Street
Department of Pharmacy and Therapeutics
Pittsburgh, PA 15213
Phone (724) 307-3074
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-41828L | PA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1144350695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTHROP STREET",
"address_2": "DEPARTMENT OF PHARMACY AND THERAPEUTICS",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "724-307-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP STREET",
"address_2": "DEPARTMENT OF PHARMACY AND THERAPEUTICS",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "412-864-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULLO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "BS, PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "RP-41828L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.