Active NPI
Mullay Enterprises, Inc.
Doing business as Hermiston Drug & Gift
- Community/Retail Pharmacy
- Hermiston, OR
National Provider Identifier
1063595726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00234
- Legal business name
- MULLAY ENTERPRISES, INC.
- Doing business as
- Hermiston Drug & Gift
- Practice address
- 114 E Main St
Hermiston, OR 97838-1838 - Phone
- (541) 567-3072
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Patrick Mullay, RPH
- Title
- President
- Phone
- (541) 567-3072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 00234 | OR | Primary |
Addresses
Primary practice location
114 E Main St
Hermiston, OR 97838-1838
Mailing address
114 E Main St
Hermiston, OR 97838-1838
Phone (541) 567-3072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3802065 | Other | NABP NUMBER | |
| 087304 | Medicaid | OR |
Other names 1
- HERMISTON DRUG & GIFT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240509002443 | OR | Part B Supplier - Pharmacy | 7012358948 | Practice locations: Hermiston, OR |
National Provider Directory
National Provider DirectoryLocations
114 E Main St
Hermiston, OR 97838
Phone (541) 567-3072
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hermiston, OR
- NPI 1609227032
-
- Pharmacist
- Hermiston, OR
- NPI 1588431969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063595726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E MAIN ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978381838",
"telephone_number": "541-567-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E MAIN ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978381838",
"telephone_number": "541-567-3072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLAY ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MULLAY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-567-3072",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "00234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "3802065",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087304",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HERMISTON DRUG & GIFT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.