Active NPI
Melissa Michelle Mullis, PHARMD
- Pharmacist
- Durham, NC
National Provider Identifier
1164821005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24540
- Practice address
- 101 W Woodcroft Pkwy
Durham, NC 27713-9471 - Phone
- (919) 484-8817
- Fax
- (919) 572-1938
- NPI assigned
- Aug 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24540 | NC | Primary |
Addresses
Primary practice location
101 W Woodcroft Pkwy
Durham, NC 27713-9471
Mailing address
1500 Regency Pkwy
#106
Cary, NC 27518-8529
Phone (706) 461-3317
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24540 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408147200000",
"number": "1164821005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 REGENCY PKWY",
"address_2": "#106",
"city": "CARY",
"state": "NC",
"postal_code": "275188529",
"telephone_number": "706-461-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W WOODCROFT PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139471",
"telephone_number": "919-484-8817",
"fax_number": "919-572-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIS",
"first_name": "MELISSA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-16",
"last_updated": "2014-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.