David Lanier Mull, R PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

012908 Issued in GA

Practice address

1700 Monroe Dr NE
Kroger Pharmacy
Atlanta, GA 30324-5033

Phone

(404) 872-0785

Fax

(404) 873-7063

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1225062045
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285641415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 MERTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063006",
            "telephone_number": "404-347-8121",
            "fax_number": "404-347-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MONROE DR NE",
            "address_2": "KROGER PHARMACY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245033",
            "telephone_number": "404-872-0785",
            "fax_number": "404-873-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "DAVID",
        "middle_name": "LANIER",
        "name_prefix": "Mr.",
        "credential": "R PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "012908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keonna Muldrow, LPN
• Nebiyu D Muleta
• Graeme Brodie Mulholland, M.D.
• Jennifer Clara Mulijawan, PA-C
• Ezat Mulki, DMD
• Shahnaz Mulla, PMHNP-BC
• Robert John Mullan, M.D.
• Sarah Ouellette Mullany
• Bhargava Mullapudi, M.D.
• Bridget Yvette Mullen, FAMILY NURSE PRACTIT

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.