Marilyn Novell Bulloch, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15543 Issued in AL

Practice address

University Medical Ctr
Box 870326
Tuscaloosa, AL 35487-0001

Phone

(276) 732-2353

NPI assigned

Sep 12, 2007

Last updated

Jul 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1598950453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 KATHY LN",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681464",
            "telephone_number": "276-732-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY MEDICAL CTR",
            "address_2": "BOX 870326",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354870001",
            "telephone_number": "276-732-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCH",
        "first_name": "MARILYN",
        "middle_name": "NOVELL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15543",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207988",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP00007154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Nathan Buckalew
• Lauren C Buckalew, DPT
• Craig M Buettner, MD
• Monica Mong Thuong Bui, D.O.
• Daniel Bulgatz, DPT
• Garrett Shannon Bullock
• Ross Edward Bunch, MD
• Janet Bunyard
• Brittany Ann Burch, LMSW
• Christie H Burch, AUDIOLOGIST

• Pharmacist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.