Individual provider Active NPI

Denise Mullery, PHARM.D.

  • Pharmacist
  • Palm Springs, CA
National Provider Identifier
1265839500
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71006 Issued in CA
Practice address
2744 E Tahquitz Canyon Way Apt 227
Palm Springs, CA 92262-7057
Phone
(916) 591-8430
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71006 CA Primary

Addresses

Primary practice location

2744 E Tahquitz Canyon Way Apt 227
Palm Springs, CA 92262-7057

Mailing address

2744 E Tahquitz Canyon Way Apt 227
Palm Springs, CA 92262-7057
Phone (916) 591-8430

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

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1265839500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 E TAHQUITZ CANYON WAY APT 227",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627057",
            "telephone_number": "916-591-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 E TAHQUITZ CANYON WAY APT 227",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627057",
            "telephone_number": "916-591-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLERY",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.