Active NPI
Mallory Mullins
- Pharmacist
- Birmingham, AL
National Provider Identifier
1629673223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21598
- Practice address
- 1431 11TH Ave S
Birmingham, AL 35205-3402 - Phone
- (205) 933-8374
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- 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 | 21598 | AL | Primary |
Addresses
Primary practice location
1431 11TH Ave S
Birmingham, AL 35205-3402
Mailing address
2620 Highland Ave S Apt 204
Birmingham, AL 35205-1724
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Locations
1431 11th Ave S
Birmingham, AL 35205
Phone (205) 933-8374
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1629673223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 HIGHLAND AVE S APT 204",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053402",
"telephone_number": "205-933-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.