Active NPI
William Wayne McCullar, R.PH., PHARMD
- Pharmacist
- Bossier City, LA
National Provider Identifier
1205951878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9269
- Practice address
- 3001 E Texas St
Bossier City, LA 71111-3207 - Phone
- (318) 742-6600
- Fax
- (318) 742-4207
- NPI assigned
- Mar 20, 2007
- Last updated
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 9269 | LA | Primary |
Addresses
Primary practice location
3001 E Texas St
Bossier City, LA 71111-3207
Mailing address
3302 Eastwood Dr
Shreveport, LA 71105-2560
Phone (318) 617-0990
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9269 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1205951878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 EASTWOOD DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052560",
"telephone_number": "318-617-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E TEXAS ST",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711113207",
"telephone_number": "318-742-6600",
"fax_number": "318-742-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLAR",
"first_name": "WILLIAM",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "R.PH., PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "9269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.