Individual provider Active NPI

Timothy Duane Mullins, PHARM. D.

  • Pharmacist
  • Bessemer, AL
National Provider Identifier
1154796613
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11236 Issued in AL
Practice address
519 W Town PLZ
Bessemer, AL 35020-5347
Phone
(205) 426-1922
Fax
(206) 426-1927
NPI assigned
Dec 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11236 AL Primary

Addresses

Primary practice location

519 W Town PLZ
Bessemer, AL 35020-5347

Mailing address

519 W Town PLZ
Bessemer, AL 35020-5347
Phone (205) 426-1922

Other identifiers 2

IdentifierTypeStateIssuer
324136OtherALNABP
11236OtherALALABAMA BOARD OF PHARMACY LICENSE

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
11236ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy Services, LLC Current Accepting new patients

Locations

519 W Town Plz
Bessemer, AL 35020
Phone (205) 426-1922

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1154796613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922",
            "fax_number": "206-426-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922",
            "fax_number": "206-426-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TIMOTHY",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "324136",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF PHARMACY LICENSE",
            "identifier": "11236",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.