Active NPI
Juliette Andrea McCauley, RPH
- Pharmacist
- Fulton, NY
National Provider Identifier
1518142140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33816
- Practice address
- 113 W Broadway
Fulton, NY 13069-2215 - Phone
- (315) 592-4335
- Fax
- (315) 592-3356
- NPI assigned
- Jan 2, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33816 | NY | Primary |
Addresses
Primary practice location
113 W Broadway
Fulton, NY 13069-2215
Mailing address
4976 Peppermill LN
Liverpool, NY 13088-4746
Phone (315) 727-0669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595485 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fulton | Hargraves Pharmacy Inc. |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33816 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hargraves Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Fulton, NY
- NPI 1689794547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1518142140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 PEPPERMILL LN",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884746",
"telephone_number": "315-727-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W BROADWAY",
"city": "FULTON",
"state": "NY",
"postal_code": "130692215",
"telephone_number": "315-592-4335",
"fax_number": "315-592-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "JULIETTE",
"middle_name": "ANDREA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "33816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0595485",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Fulton",
"affiliation": "Y",
"endpointDescription": "Fulton",
"affiliationName": "Hargraves Pharmacy Inc.",
"address_1": "113 W Broadway",
"city": "Fulton",
"state": "NY",
"country_code": "US",
"postal_code": "130692215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.