Martin Nucullaj, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302416568 Issued in MI

Practice address

1141 N McEwan St
Clare, MI 48617-1107

Phone

(989) 386-6197

NPI assigned

Mar 28, 2025

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Clare, MI
  • NPI 1346404126
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1215730957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171107",
            "telephone_number": "989-386-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171107",
            "telephone_number": "989-386-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCULLAJ",
        "first_name": "MARTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Erin Nash
• Sage Newman
• Trung Quoc Nguyen, DO
• Juliette Leilani Nielsen, LMSW
• Erik Nimbley, MD
• Austyn Kay Otten, NP
• Ryan Matthew Ouillette, M.D.
• Shelia Parker
• Shirley A Perhase
• Perry J Burke DMD PLLC

• Pharmacist in Clare, MI
• Providers in Clare, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.