DR. MATTHEW R MCCULLOCH (NPI# 1962790899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962790899 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R MCCULLOCH |
| Credential | PHARM.D |
| Practice Address |
1970 W Valencia Rd Tucson AZ 85746-6503 |
| Practice Telephone | 5202812594 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
S016557 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326401019 | Matthew Ryan Mcculloch | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave # 418, Aurora, CO 80045-7106 | 2016-03-31 |
| Street Address |
1970 W VALENCIA RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1780935304 | Jacqueline Kelly Barraclough | Pharmacist | 250 N Arcadia Ave Apt 914, Tucson, AZ 85711-3027 | 2012-09-21 |
| 1881962256 | Ali Namazifard | Pharmacist | 5478 W Red Racer Dr, Tucson, AZ 85742-8363 | 2011-12-13 |
| 1982862256 | Ron Kaz | Pharmacist | 6121 E Oak St, Tucson, AZ 85711-4655 | 2008-05-23 |
| 1083679898 | Eric Richard Van Hoesen Jr. | Pharmacist | 7395 S Houghton Rd, Suite 129, Tucson, AZ 85747-3304 | 2006-04-18 |
| 1144820705 | William Carbonneau | Pharmacist | 7050 E Golf Links Rd, Tucson, AZ 85730-1000 | 2020-10-31 |
| 1023651759 | Kara Herlihy | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2019-10-25 |
| 1184198905 | Ilan Chao | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2019-01-15 |
| 1306327630 | Andrea M Jones | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2018-08-24 |
| 1023505302 | Phillip Yamauchi | Pharmacist | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-04-22 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.