Mullen Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY18869 Issued in CA

Legal business name

MULLEN PHARMACY INC

Practice address

27212 Calaroga Ave
Hayward, CA 94545-4339

Phone

(510) 783-5532

Fax

(888) 310-9715

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

James Bateman, RPH

Title

Owner

Phone

(510) 783-5532

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HAYWARD PHARMACY Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1285731026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27212 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-783-5532",
            "fax_number": "510-783-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27212 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-783-5532",
            "fax_number": "888-310-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-783-5532",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY18869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA188690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYWARD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aameera Jenna Muhammad Norris
• Khalidah Muhammad
• Messiah Muhammad
• Muwafaq A. Mujahed
• Parinitha Mulaveesala
• Jasmine Edythe Munoz
• Vanessa Munoz
• Yezenia Munoz
• Kimber Marie Murillo
• Sara Murney

• Community/Retail Pharmacy in Hayward, CA
• Providers in Hayward, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.