Richard Walter Mullen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12919 Issued in WI

Practice address

725 S Janesville St
Milton, WI 53563-1775

Phone

(608) 868-6777

Fax

(608) 868-4177

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023155124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 WALNUT GROVE RD",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535638405",
            "telephone_number": "608-868-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S JANESVILLE ST",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535631775",
            "telephone_number": "608-868-6777",
            "fax_number": "608-868-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "RICHARD",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Health System Corporation (Milton Pharmacy)
• Mercy Health System Corporation (Mercy Milton Medical Center)
• Milton & Edgerton Vision Centers, LLC (Milton Vision Center)
• Milton Fire Department (Milton & Milton Township Fire Department)
• Cassie Amanda Monday, LPN
• Whitney Ann Oechsner, FNP-C
• Michael Perry, LMT
• Daniel William Riethmiller, MD
• Kennedi Romenesko, RDN
• Sarah Rynke

• Pharmacist in Milton, WI
• Providers in Milton, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.