Active NPI
Mullen Pharmacy PA Inc
Doing business as Grant County Drug LTC
- Long Term Care Pharmacy
- Ulysses, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MULLEN PHARMACY PA INC
- Doing business as
- Grant County Drug LTC
- Practice address
- 219 N Main St
Ulysses, KS 67880-2130 - Phone
- (620) 356-1446
- Fax
- (620) 356-5381
- NPI assigned
- Feb 8, 2024
- Last updated
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyson Mullen
- Title
- Owner/Pharmd
- Phone
- (620) 356-1446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
219 N Main St
Ulysses, KS 67880-2130
Mailing address
PO Box 570
Ulysses, KS 67880-0570
Phone (620) 356-1446
Other names 1
- Grant County Drug LTC
National Provider Directory
National Provider Directory- Tax ID family
- Grant County Drug
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
219 N Main St
Ulysses, KS 67880
Phone (620) 356-1446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Ulysses, KS
- NPI 1205227410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1497519508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678800570",
"telephone_number": "620-356-1446",
"fax_number": "620-356-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N MAIN ST",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678802130",
"telephone_number": "620-356-1446",
"fax_number": "620-356-5381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLEN PHARMACY PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "TYSON",
"authorized_official_title_or_position": "OWNER/PHARMD",
"authorized_official_telephone_number": "620-356-1446"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grant County Drug LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ulysses, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.