Organization Active NPI

Mullay Enterprises, Inc.

Doing business as Hermiston Drug & Gift

  • Community/Retail Pharmacy
  • Hermiston, OR
National Provider Identifier
1063595726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00234 Issued in OR
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Patrick Mullay, RPHNPI 1609227032
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3802065OtherNABP NUMBER
087304MedicaidOR

Other names 1

  • HERMISTON DRUG & GIFT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509002443 OR Part B Supplier - Pharmacy 7012358948 Practice locations: Hermiston, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.