Active NPI
Gregg Kent Mullens, PHARM.D.; D.D.S.
- Pharmacist
- Greenfield, MA
National Provider Identifier
1003812538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19437
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XO8195 | Other | MA | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605000716 | MA | Order and Referring Only - Oral Surgery | 3971824715 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15868 | MA | MD | General Practice Dentistry |
| 19437 | MA | MD | General Practice Dentistry |
| 5233 | NE | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.