Tiffany Beth Mullins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001228247 Issued in VA

Practice address

11231 Indian Creek Rd
Pound, VA 24279

Phone

(276) 796-2200

Fax

(276) 796-2202

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hancock Lambert Pharmacy Inc.

  dba Hancock Lambert Pharmacy

  • Community/Retail Pharmacy
  • Clintwood, VA
  • NPI 1255301321
  NPD
• Tyfan Inc.

  dba Wildcat Pharmacy

  • Community/Retail Pharmacy
  • Pound, VA
  • NPI 1255381265
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1003402629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1480",
            "city": "POUND",
            "state": "VA",
            "postal_code": "242791480",
            "telephone_number": "276-796-2200",
            "fax_number": "276-796-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11231 INDIAN CREEK RD",
            "city": "POUND",
            "state": "VA",
            "postal_code": "24279",
            "telephone_number": "276-796-2200",
            "fax_number": "276-796-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TIFFANY",
        "middle_name": "BETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001228247",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230012735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotty R Matney, PHARM D
• Melissa Lea Morton-Fishman, MD
• Mountain Comprehensive Health Corporation (Pound Medical Clinic)
• Mountain Comprehensive Health Corporation (Pound Medical Clinic Pharmacy)
• Gregory Brian Mullins, RPH
• Nantz Apothecary (Pound Discount Pharmacy)
• Rachel's Haven, Inc.
• Jessica Marie Sykes, CSAC, LPC
• Tyfan Inc. (Wildcat Pharmacy)
• Walgreen Co (Rite Aid #1625)

• Registered Nurse in Pound, VA
• Providers in Pound, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.