Organization Active NPI

Mullins Pharmacy

  • Community/Retail Pharmacy
  • Dahlonega, GA
National Provider Identifier
1396085437
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MULLINS PHARMACY
Doing business as
Mullins Pharmacy
Practice address
24 Alicia LN Ste 2
Dahlonega, GA 30533-1637
Phone
(706) 867-0514
Fax
(706) 867-0533
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Eric Mullins
Title
Owner
Phone
(706) 867-0514

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009904 GA
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

24 Alicia LN Ste 2
Dahlonega, GA 30533-1637

Mailing address

24 Alicia LN Ste 2
Dahlonega, GA 30533-1637
Phone (706) 867-0514

Other identifiers 2

IdentifierTypeStateIssuer
003133078AMedicaidGA
2139282OtherPK

Other names 1

  • Mullins Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

24 Alicia Ln
Ste 2
Dahlonega, GA 30533
Phone (706) 867-0514

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1396085437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ALICIA LN STE 2",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331637",
            "telephone_number": "706-867-0514",
            "fax_number": "706-867-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ALICIA LN STE 2",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331637",
            "telephone_number": "706-867-0514",
            "fax_number": "706-867-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-867-0514"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009904",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133078A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mullins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mullins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.