Active NPI
Zachary Mullenax, PHARMD
- Pharmacist
- Hillsboro, OR
National Provider Identifier
1780468363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0019608
- Practice address
- 955 SE Baseline St
Hillsboro, OR 97123-4207 - Phone
- (503) 615-8384
- NPI assigned
- Aug 23, 2023
- 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 | RPH-0019608 | OR | Primary |
Addresses
Primary practice location
955 SE Baseline St
Hillsboro, OR 97123-4207
Mailing address
8915 NE Tennyson St Apt 205
Hillsboro, OR 97006-2906
Phone (253) 389-3795
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 |
|---|---|---|---|
| RPH-0019608 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1780468363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 NE TENNYSON ST APT 205",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970062906",
"telephone_number": "253-389-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 SE BASELINE ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234207",
"telephone_number": "503-615-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLENAX",
"first_name": "ZACHARY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0019608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.