Individual provider Active NPI

Douglas S McCullough, R.PH.

  • Pharmacist
  • Heath, OH
National Provider Identifier
1962764084
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03319743 Issued in OH
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

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03319743OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co PastSince Apr 27, 2025 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.

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.

Verify at the official NPI Registry.