Active NPI
Mula Family Pharmacy, LLC
- Community/Retail Pharmacy
- Abbeville, LA
National Provider Identifier
1194122440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MULA FAMILY PHARMACY, LLC
- Practice address
- 2619 Charity St
Abbeville, LA 70510-4024 - Phone
- (337) 385-1250
- Fax
- (337) 385-1247
- NPI assigned
- Dec 2, 2014
- 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. Mark E Mula, RPH
- Title
- Pharmacist in Charge/Owner
- Phone
- (337) 385-1250
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2619 Charity St
Abbeville, LA 70510-4024
Mailing address
2619 Charity St
Abbeville, LA 70510-4024
Phone (337) 385-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204351 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160229001687 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688979610 | Practice locations: Abbeville, LA |
| O20161005000391 | LA | DME Supplier - Pharmacy | 4688979610 | Practice locations: Abbeville, LA |
National Provider Directory
National Provider Directory- Tax ID family
- Mula Family Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Abbeville, LA
- NPI 1922764521
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Abbeville, LA
- NPI 1427427137
-
- Pharmacist
- Abbeville, LA
- NPI 1427365493
-
- Pharmacist
- Abbeville, LA
- NPI 1871134858
-
- Pharmacist
- Abbeville, LA
- NPI 1558207308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1194122440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 CHARITY ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104024",
"telephone_number": "337-385-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 CHARITY ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104024",
"telephone_number": "337-385-1250",
"fax_number": "337-385-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULA FAMILY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-02",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "MULA",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
"authorized_official_telephone_number": "337-385-1250",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204351",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.