Individual provider Active NPI

Stacey McCullough, PHARMD

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1942839642
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8946 Issued in TN
Practice address
2108 Charlotte Ave
Nashville, TN 37203-1816
Phone
(615) 986-7650
Fax
(615) 986-7655
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8946 TN Primary

Addresses

Primary practice location

2108 Charlotte Ave
Nashville, TN 37203-1816

Mailing address

2108 Charlotte Ave
Nashville, TN 37203-1816
Phone (615) 986-7650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smccullough@tnonc.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1942839642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031816",
            "telephone_number": "615-986-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031816",
            "telephone_number": "615-986-7650",
            "fax_number": "615-986-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "STACEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smccullough@tnonc.com",
            "affiliation": "N",
            "endpointDescription": "smccullough@tnonc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2108 Charlotte Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.