Active NPI
Haley Lynne Mull
- Pharmacist
- Key West, FL
National Provider Identifier
1295451375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61741
- Practice address
- 5610 Overseas Hwy
Key West, FL 33040-4317 - Phone
- (305) 295-2858
- Fax
- (305) 295-2859
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PS61741 | FL | Primary |
Addresses
Primary practice location
5610 Overseas Hwy
Key West, FL 33040-4317
Mailing address
5610 Overseas Hwy
Key West, FL 33040-4317
Phone (305) 295-2858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060340626 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS61741 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1295451375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 OVERSEAS HWY",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404317",
"telephone_number": "305-295-2858",
"fax_number": "305-295-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 OVERSEAS HWY",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404317",
"telephone_number": "305-295-2858",
"fax_number": "305-295-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULL",
"first_name": "HALEY",
"middle_name": "LYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060340626",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.