Mccullough Pharmacy Inc
Community/Retail Pharmacy
547 Kenosha St, Walworth
Wisconsin, 53184-9512
262-275-2137 262-275-5743
Mccullough Pharmacy Inc is a Community/Retail Pharmacy in Walworth, Wisconsin. It is located at 547 Kenosha St, Walworth and it's customer support contact number is 262-275-2137. The authorized person of Mccullough Pharmacy Inc is James Mccullough who is President of the pharmacy and his contact number is 262-248-8582. Active license number of Mccullough Pharmacy Inc is 5931042 for Community/Retail Pharmacy in Wisconsin. Mccullough Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mccullough Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Mccullough Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mccullough Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 547 Kenosha St, Walworth,
Wisconsin, 53184-9512 |
| Phone: | 262-275-2137 |
| Fax: | 262-275-5743 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | James Mccullough |
| Position: | President |
| Contact Number: | 262-248-8582 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1881703676 |
| NPI Enumeration Date: | 29 Aug, 2006 |
| NPI Last Update On: | 13 Sep, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mccullough Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5931042 | Wisconsin | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33086500 | Medicaid | Wisconsin | |
| 5110022 | Other | | Other Id Number |
Medicare Enrollment:
Mccullough Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1052431525 | O20100930065444 | Mccullough Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 1052431525 | O20120730000319 | Mccullough Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Mccullough Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 547 Kenosha St,
Walworth, Wisconsin |
| Zip: | 53184-9512 |
| Phone Number: | -- |
Patients can reach Mccullough Pharmacy Inc at
547 Kenosha St, Walworth, Wisconsin or can
call on customer care at 262-275-2137.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.