Active NPI
Kenneth Howard Mulhearn, R.PH.
- Pharmacist
- Belleview, FL
National Provider Identifier
1790903615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0012901
- Practice address
- 10393 S.E. Hwy 441
Belleview, FL 34420 - Phone
- (352) 307-8260
- Fax
- (352) 307-8259
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PS0012901 | FL | Primary |
Addresses
Primary practice location
10393 S.E. Hwy 441
Belleview, FL 34420
Mailing address
13400 S.E. 102 CT
Belleview, FL 34420
Phone (352) 288-5017
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0012901 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790903615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 S.E. 102 CT",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "34420",
"telephone_number": "352-288-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10393 S.E. HWY 441",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "34420",
"telephone_number": "352-307-8260",
"fax_number": "352-307-8259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHEARN",
"first_name": "KENNETH",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0012901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.