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DR. GREGG H. MCCULLOCH PHARM.D.
NPI 1417064056
Pharmacist in Boise, ID

Active since August 23, 2006
500 W FORT ST, BOISE, ID 83702(208) 422-1000(208) 422-1198 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregg H. Mcculloch Pharm.d. NPPES

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

DR. GREGG H. MCCULLOCH PHARM.D. (NPI 1417064056) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P4859) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417064056
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GREGG H. MCCULLOCHCredential: PHARM.D.
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address10988 Runway DrBoise, ID 83714-9610
Phone(208) 422-1000
Fax(208) 422-1198
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417064056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P4859
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
500 W FORT ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 20

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

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Gregg Mcculloch's NPI number?

The NPI number for Gregg Mcculloch is 1417064056. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Gregg Mcculloch located?

Gregg Mcculloch practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Gregg Mcculloch's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gregg Mcculloch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.