Nicole Lynnette Mullen

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

183536 Issued in CA

Practice address

10631 Tierrasanta Blvd
San Diego, CA 92124-2605

Phone

(858) 576-0972

Fax

(858) 576-0035

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05660

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1891804332
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1477249894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 EL NOPAL",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714907",
            "telephone_number": "619-954-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242605",
            "telephone_number": "858-576-0972",
            "fax_number": "858-576-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "NICOLE",
        "middle_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "183536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Mullen, LMFT, LIMHP
• Jordan Mullen, PA-S
• Khloe Mullen
• Linda Mullen, LMFT
• Maria Candelaria Madrid Mullen, LMFT
• Shannon Mullen
• Lora Venice Mullenix, NONE
• Brenda Waine Muller, RN, NP
• Claire Muller, LMFT
• Imelda Muller, MD

• Pharmacy Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.