Andria Cullum, PHARM.D.
NPI 1992160956ActiveIndividual· Pharmacist· Canon City, CO
Pharmacist (PHARM.D.) in Canon City, Colorado, licensed in CO, TX, MO and IL, with an NPI issued in December 2015.
Overview
| NPI | 1992160956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | No |
| NPI issued | Dec 17, 2015 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PHA.0024375 | CO |
| Pharmacist | 183500000X | 52424 | TX |
| Pharmacist | 183500000X | 2007023344 | MO |
| Pharmacist | 183500000X | 051292200 | IL |
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 |
|---|
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