Individual provider Active NPI

Robert Mullay

  • Pharmacist
  • Hermiston, OR
National Provider Identifier
1609227032
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0006861 Issued in OR
Practice address
114 E Main St
Hermiston, OR 97838-1838
Phone
(541) 567-3072
Fax
(541) 567-3787
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0006861 OR Primary

Addresses

Primary practice location

114 E Main St
Hermiston, OR 97838-1838

Mailing address

114 E Main St
Hermiston, OR 97838-1838
Phone (541) 567-3072

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
RPH-0006861ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mullay Enterprises, Inc. Current Accepting new patients

Locations

114 E Main St
Hermiston, OR 97838
Phone (541) 567-3072

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1609227032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381838",
            "telephone_number": "541-567-3072",
            "fax_number": "541-567-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381838",
            "telephone_number": "541-567-3072",
            "fax_number": "541-567-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAY",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0006861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.