Cory Lee Edward McCullough
NPI 1093630600ActiveIndividual· Pharmacy Technician· Pocatello, ID
Pharmacy Technician in Pocatello, Idaho, licensed in ID, with an NPI issued in August 2026.
Overview
| NPI | 1093630600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 12, 2026 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Technician Primary | 183700000X | 7861367 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy Technician providers in Pocatello
- 1831008465
- 1205744125
- 1134036122
- 1558270017
- 1831846617
- 1124776380
- 1205743390