Michael P Kullman Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.001862-IR Issued in LA

Legal business name

MICHAEL P KULLMAN INC

Doing business as

Uptown Delivery Pharmacy

Practice address

741 Nashville Ave
New Orleans, LA 70115-3226

Phone

(504) 897-0141

Fax

(504) 897-2689

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Terri Hamilton, PD

Title

Pharmacist/Manager

Phone

(504) 897-0141

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• UPTOWN DELIVERY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1891807749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NASHVILLE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153226",
            "telephone_number": "504-897-0141",
            "fax_number": "504-897-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NASHVILLE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153226",
            "telephone_number": "504-897-0141",
            "fax_number": "504-897-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P KULLMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "504-897-0141",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.001862-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255165",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPTOWN DELIVERY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leslie A Michel, MD
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• Community/Retail Pharmacy in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.