Active NPI
Dustin Joseph Mushlock, PHARM. D.
- Pharmacist
- Petoskey, MI
National Provider Identifier
1750664173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038169
- Practice address
- 1301 N US Highway 31
Petoskey, MI 49770-9307 - Phone
- (231) 348-7510
- NPI assigned
- Sep 21, 2011
- 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 | 5302038169 | MI | Primary |
Addresses
Primary practice location
1301 N US Highway 31
Petoskey, MI 49770-9307
Mailing address
1301 N US Highway 31
Petoskey, MI 49770-9307
Phone (231) 348-7510
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 |
|---|---|---|---|
| 5302038169 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1750664173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N US HIGHWAY 31",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709307",
"telephone_number": "231-348-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N US HIGHWAY 31",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709307",
"telephone_number": "231-348-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHLOCK",
"first_name": "DUSTIN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
- Munson Healthcare Otsego Memorial Hospital (Munson Healthcare Petoskey Community Health Center)
- Munson Healthcare Otsego Memorial Hospital (MHC Traverse Heart and Vascular- Petoskey)
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital (MHC Great Lakes Plastic Surgery & Skin Center- Petoskey)
- Munson Medical Center
- Paula Musilek
- MVP Imaging PLC
- My Community Dental Centers Inc
- Thomas E Myers, PTA
- N C Narten MD PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.