Active NPI
Douglas S McCullough, R.PH.
- Pharmacist
- Heath, OH
National Provider Identifier
1962764084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03319743
- Practice address
- 910 Hebron Rd
Heath, OH 43056-1181 - Phone
- (740) 522-3693
- Fax
- (740) 522-3941
- NPI assigned
- Jun 14, 2012
- 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 | 03319743 | OH | Primary |
Addresses
Primary practice location
910 Hebron Rd
Heath, OH 43056-1181
Mailing address
910 Hebron Rd
Heath, OH 43056-1181
Phone (740) 522-3696
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 |
|---|---|---|---|
| 03319743 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1588698286
-
- Community/Retail Pharmacy
- Heath, OH
- NPI 1730113531
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1962764084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 HEBRON RD",
"city": "HEATH",
"state": "OH",
"postal_code": "430561181",
"telephone_number": "740-522-3696",
"fax_number": "740-522-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 HEBRON RD",
"city": "HEATH",
"state": "OH",
"postal_code": "430561181",
"telephone_number": "740-522-3693",
"fax_number": "740-522-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "DOUGLAS",
"middle_name": "S",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03319743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heath, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.