NPIMap

Organization Active NPI

Christopher N Mullin

Doing business as Life Circle Pharmacy

  • Non-Pharmacy Dispensing Site
  • Cleveland, TN
National Provider Identifier
1740363936
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
29312 Issued in TN
Legal business name
CHRISTOPHER N MULLIN
Doing business as
Life Circle Pharmacy
Practice address
2301 N Ocoee St
Ste a
Cleveland, TN 37311-3863
Phone
(423) 339-1400
Fax
(423) 339-9950
NPI assigned
Oct 23, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Christopher Mullin, MDNPI 1598738023
Title
Owner
Phone
(423) 339-1400

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)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 29312 TN Primary

Addresses

Primary practice location

2301 N Ocoee St
Ste a
Cleveland, TN 37311-3863

Mailing address

2301 N Ocoee St
Ste a
Cleveland, TN 37311-3863
Phone (423) 339-1400

Other identifiers 1

IdentifierTypeStateIssuer
4439837OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LIFE CIRCLE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifecircle Womens Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2301 N Ocoee St
Ste A
Cleveland, TN 37311
Phone (423) 339-1400

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1740363936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER N MULLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-339-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "29312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4439837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE CIRCLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.