Individual provider Active NPI

Mindy Lorena Mullery, PHARMACIST

  • Pharmacist
  • La Porte, TX
National Provider Identifier
1427658053
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32392 Issued in TX
Practice address
9025 Spencer Hwy
La Porte, TX 77571-3870
Phone
(281) 479-9364
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32392 TX Primary

Addresses

Primary practice location

9025 Spencer Hwy
La Porte, TX 77571-3870

Mailing address

15414 Bay Green CT
Houston, TX 77059-5812
Phone (281) 467-1638

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CSV Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
32392TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1427658053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15414 BAY GREEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595812",
            "telephone_number": "281-467-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 SPENCER HWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713870",
            "telephone_number": "281-479-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLERY",
        "first_name": "MINDY",
        "middle_name": "LORENA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9025 Spencer Hwy",
            "city": "LA Porte",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775713870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.