Bryan C McCutcheon, RPH, CGP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

030923 Issued in NY

Practice address

56 Echo Ave
Echo Pharmacy
Miller Place, NY 11764-2401

Phone

(631) 642-8175

Fax

(631) 642-8178

NPI assigned

Jan 31, 2007

Sex

Male

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

Registered Pharmacist

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.

• Echo Pharmacy LLC

  • Community/Retail Pharmacy
  • Miller Place, NY
  • NPI 1386741213
  NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245377167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STONYWELL CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465423",
            "telephone_number": "631-499-7685",
            "fax_number": "631-493-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ECHO AVE",
            "address_2": "ECHO PHARMACY",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642401",
            "telephone_number": "631-642-8175",
            "fax_number": "631-642-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "BRYAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "030923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat Medical Associates, P.C.
• Maureen Vollaro LCSW PC
• Noreen Maynes, RN
• Eileen McAlpine, L.C.S.W.
• Donald A McCrea, DPT
• Marcia McCutcheon
• James P McGovern, RPH
• Theresa E McGuire
• Karen Ann McNulty, SPECIAL EDUCATOR
• Medical Health of New York PLLC

• Geriatric Pharmacist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Geriatric Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.