Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CORY LEE EDWARD MCCULLOUGH
NPI 1093630600
Pharmacy Technician in Pocatello, ID

Active since August 12, 2026
330 E BENTON ST, POCATELLO, ID 83201(208) 233-0651(208) 478-1731 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cory Lee Edward Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY LEE EDWARD MCCULLOUGH (NPI 1093630600) is an individual pharmacy technician in Pocatello, Idaho, licensed in Idaho (7861367) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1093630600
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameCORY LEE EDWARD MCCULLOUGH
Location Address330 E BENTON STPocatello, ID 83201-6526
Mailing Address330 E Benton StPocatello, ID 83201-6526 · (208) 233-0651 · Fax (208) 478-1731
Fax(208) 478-1731
Sole ProprietorNo
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
NPI 1093630600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License Licensed in ID · 7861367
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
330 E BENTON ST, Pocatello, ID 83201

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy Technician
330 E BENTON ST
POCATELLO, ID 83201
Pharmacy (Community/Retail Pharmacy)
330 E BENTON ST
POCATELLO, ID 83201
Pharmacist
330 E BENTON ST
POCATELLO, ID 83201
Pharmacy (Community/Retail Pharmacy)
330 E BENTON ST
POCATELLO, ID 83201
Pharmacy Technician
330 E BENTON ST
POCATELLO, ID 83201
Student in an Organized Health Care Education/Training Program
330 E BENTON ST
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Mccullough's NPI number?

The NPI number for Cory Mccullough is 1093630600. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Cory Mccullough located?

Cory Mccullough practices at 330 E Benton St, Pocatello, ID 83201. The listed phone number is (208) 233-0651.

What is Cory Mccullough's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Cory Mccullough was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.