Active NPI
Jason Alan Mull, PHARMD.
- Pharmacist
- Hickory, NC
National Provider Identifier
1740513621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18249
- Practice address
- 2659 S NC 127 Hwy
Hickory, NC 28602-9129 - Phone
- (828) 294-7056
- NPI assigned
- Sep 10, 2009
- Last updated
- Sep 10, 2009
- 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 | 18249 | NC | Primary |
Addresses
Primary practice location
2659 S NC 127 Hwy
Hickory, NC 28602-9129
Mailing address
2659 NC Hwy 127 S
Hickory, NC 28602
Phone (828) 294-7056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0186248 | Medicaid | NC |
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 |
|---|---|---|---|
| 18249 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | 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, 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": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1740513621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2659 NC HWY 127 S",
"city": "HICKORY",
"state": "NC",
"postal_code": "28602",
"telephone_number": "828-294-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2659 S NC 127 HWY",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029129",
"telephone_number": "828-294-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULL",
"first_name": "JASON",
"middle_name": "ALAN",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0186248",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.