Active NPI
Zachary William Mullin, PHARM D.
- Pharmacist
- Charleston, SC
National Provider Identifier
1629543541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37725
- Practice address
- 776 Daniel Ellis Dr Ste 2C
Charleston, SC 29412-3096 - Phone
- (843) 795-9554
- Fax
- (843) 795-2660
- NPI assigned
- Oct 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37725 | SC | Primary |
Addresses
Primary practice location
776 Daniel Ellis Dr Ste 2C
Charleston, SC 29412-3096
Mailing address
3306 Sweet PL
Charleston, SC 29492-2845
Phone (507) 304-5351
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37725 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plantation Pharmacy at Ellis Oaks | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Charleston, SC
- NPI 1255416616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1629543541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 SWEET PL",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294922845",
"telephone_number": "507-304-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 DANIEL ELLIS DR STE 2C",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123096",
"telephone_number": "843-795-9554",
"fax_number": "843-795-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "ZACHARY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-07",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.