Individual provider Active NPI

Daniel Mullenix

  • Pharmacist
  • Hagerstown, MD
National Provider Identifier
1134413271
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14266 Issued in MD
Practice address
17213 Cole Rd
T-1257
Hagerstown, MD 21740-6981
Phone
(301) 582-9183
Fax
(301) 582-9183
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14266MDMDPharmacist

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14266 MD Primary

Addresses

Primary practice location

17213 Cole Rd
T-1257
Hagerstown, MD 21740-6981

Mailing address

17213 Cole Rd
T-1257
Hagerstown, MD 21740-6981
Phone (301) 582-9183

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1134413271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17213 COLE RD",
            "address_2": "T-1257",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406981",
            "telephone_number": "301-582-9183",
            "fax_number": "301-582-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17213 COLE RD",
            "address_2": "T-1257",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406981",
            "telephone_number": "301-582-9183",
            "fax_number": "301-582-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENIX",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.