Active NPI
Tyson Mullen, PHARMD
- Pharmacist
- Ulysses, KS
National Provider Identifier
1205227410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14790
- Practice address
- 219 N Main St
Ulysses, KS 67880-2130 - Phone
- (620) 356-1446
- NPI assigned
- Feb 10, 2015
- Last updated
- Feb 10, 2015
- Sex
- Male
- 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 | 1-14790 | KS | Primary |
Addresses
Primary practice location
219 N Main St
Ulysses, KS 67880-2130
Mailing address
219 N Main St
PO Box 570
Ulysses, KS 67880-2130
Phone (620) 356-1446
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 |
|---|---|---|---|
| 1-14790 | KS | MD | Pharmacist |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1205227410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 N MAIN ST",
"address_2": "PO BOX 570",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678802130",
"telephone_number": "620-356-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N MAIN ST",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678802130",
"telephone_number": "620-356-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "TYSON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-10",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ulysses, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.