Active NPI
Matthew Ryan Mullins, PHARM.D
- Pharmacist
- Columbia, MD
National Provider Identifier
1720712987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28446
- Practice address
- 5585 Twin Knolls Rd
Columbia, MD 21045-3245 - Phone
- (410) 730-2789
- NPI assigned
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 28446 | MD | Primary |
Addresses
Primary practice location
5585 Twin Knolls Rd
Columbia, MD 21045-3245
Mailing address
5585 Twin Knolls Rd
Columbia, MD 21045-3245
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1720712987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5585 TWIN KNOLLS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5585 TWIN KNOLLS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453245",
"telephone_number": "410-730-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.