Jesse Mullins

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000038748 Issued in TN

Practice address

121 Boone Ridge Dr, Suite 1006
Johnson City, TN 37615

Phone

(423) 282-0520

Fax

(423) 282-0520

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilsons Sav-Mor Drugs LLC

  dba Wilsons Sav-Mor Drugs

  • Community/Retail Pharmacy
  • Newport, TN
  • NPI 1205948213
  NPD
• Wilsons Sav-Mor Drugs LLC

  dba Wilson's Sav-Mor Drugs

  • Long Term Care Pharmacy
  • Newport, TN
  • NPI 1679281505
  NPD
• DHP Medical Services LLC

  • Health Service Clinic/Center
  • Bean Station, TN
  • NPI 1699498709
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1346648268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DORTON",
            "state": "KY",
            "postal_code": "415200325",
            "telephone_number": "606-794-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOONE RIDGE DR, SUITE 1006",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37615",
            "telephone_number": "423-282-0520",
            "fax_number": "423-282-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000038748",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213552",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24684",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "017462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Moyer, DO
• Catherine Moyer, DPT
• Randy C Moze, D.C.
• Hailey Mullane
• Jennifer L Mullins, BCBA
• John Harrison Mullins III, FNP
• Nathanael Lewis Mullins
• Paige R Mullins, PMHNP-BC
• Sara L Mullins, FNP
• Stephanie M Mullins, RN

• Pharmacist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.