Mark Allen Mullen, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS15727 Issued in FL

Practice address

6811 23Rd Ave W
Bradenton, FL 34209-5435

Phone

(941) 744-6163

Fax

(941) 798-9732

NPI assigned

Feb 21, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1295329258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 23RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095435",
            "telephone_number": "941-744-6163",
            "fax_number": "941-798-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 23RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095435",
            "telephone_number": "941-744-6163",
            "fax_number": "941-798-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS15727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Muenchow, NP
• Amena Mughni, DO
• Somiyah Mughni, DO
• Marylee Kathleen Mull
• Katrina Rayne Mullen, PA-C
• Callie Renee Mulligan
• Jonathan Mullis, PT, DPT
• Angela Muncie, PT
• Vyata Mungur, MA, LMHC
• Dalguis Munoz Cedeno

• Pharmacist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.