Individual provider Active NPI

Gregg Kent Mullens, PHARM.D.; D.D.S.

  • Pharmacist
  • Greenfield, MA
National Provider Identifier
1003812538
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19437 Issued in MA
Practice address
40 School St
Ste 6
Greenfield, MA 01301-2436
Phone
(413) 773-7766
Fax
(413) 773-3050
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15868 MA
General Practice Dentistry 1223G0001X 5233 NE
Pharmacist 183500000X 19437 MA Primary

Addresses

Primary practice location

40 School St
Ste 6
Greenfield, MA 01301-2436

Mailing address

40 School St
Ste 6
Greenfield, MA 01301-2436
Phone (413) 773-7766

Other identifiers 1

IdentifierTypeStateIssuer
XO8195OtherMABLUE CROSS/BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605000716 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971824715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15868MAMDGeneral Practice Dentistry
19437MAMDGeneral Practice Dentistry
5233NEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003812538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SCHOOL ST",
            "address_2": "STE 6",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012436",
            "telephone_number": "413-773-7766",
            "fax_number": "413-773-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SCHOOL ST",
            "address_2": "STE 6",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012436",
            "telephone_number": "413-773-7766",
            "fax_number": "413-773-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "GREGG",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.; D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15868",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5233",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "19437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "XO8195",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.