Individual provider Active NPI

Arlen Edsel Cullors Jr., PHARM. D.

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1821309378
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15822 Issued in MD
Practice address
250 W Chase St
Baltimore, MD 21201-4815
Phone
(410) 752-4473
Fax
(410) 752-6488
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15822 MD Primary

Addresses

Primary practice location

250 W Chase St
Baltimore, MD 21201-4815

Mailing address

2427 Madison Ave
Baltimore, MD 21217-4039
Phone (410) 383-8506

Other identifiers 1

IdentifierTypeStateIssuer
15822OtherMDMARYLAND PHARMACY BOARD

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15822MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1821309378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 MADISON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174039",
            "telephone_number": "410-383-8506",
            "fax_number": "410-383-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W CHASE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014815",
            "telephone_number": "410-752-4473",
            "fax_number": "410-752-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLORS",
        "first_name": "ARLEN",
        "middle_name": "EDSEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHARMACY BOARD",
            "identifier": "15822",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.