Active NPI
Robert McCullough, RPH
- Pharmacist
- Whitewater, WI
National Provider Identifier
1740490739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10070-040
- Practice address
- 1173 W Main St
Whitewater, WI 53190-1672 - Phone
- (262) 473-5087
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- 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 | 10070-040 | WI | Primary |
Addresses
Primary practice location
1173 W Main St
Whitewater, WI 53190-1672
Mailing address
1173 W Main St
Whitewater, WI 53190-1672
Phone (262) 473-5087
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 |
|---|---|---|---|
| 10070-040 | WI | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740490739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 W MAIN ST",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901672",
"telephone_number": "262-473-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 W MAIN ST",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901672",
"telephone_number": "262-473-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "ROBERT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10070-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitewater, WI
- Kathryn Mattingly
- MC 5 Inc (McCullough's LTC Pharmacy)
- MC5 Inc (McCulloughs Prescription and Gifts)
- Julie McCalip, LCSW
- Grant McCullough, PHARMD, RPH
- Courtney Jane McGee, PHARMD
- Geraldine Louise McGrorty Buchholz I, REGISTERED NURSE
- Marsha Lee McKinnon, RN
- Mercy Health System Corporation (Mercy Sports Medicine Whitewater)
- Mercy Health System Corporation (Mercy Whitewater Medical Center)
Sources for this page
- 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.