Victor Grady Mullins III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9727 Issued in AL

Practice address

126 Wildwood Pkwy
Birmingham, AL 35209-7153

Phone

(205) 940-9037

Fax

(205) 941-0242

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Bruno's Supermarkets, LLC.

  dba Bruno's Pharmacy #125

  • Community/Retail Pharmacy
  • Birmingham, AL
  • NPI 1396850582
  NPD (past)
• Bruno's Supermarkets, LLC.

  dba Bruno's Pharmacy #595

  • Community/Retail Pharmacy
  • Montgomery, AL
  • NPI 1629184031
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821165515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BRISTOL LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352261947",
            "telephone_number": "205-916-0336",
            "fax_number": "205-941-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WILDWOOD PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097153",
            "telephone_number": "205-940-9037",
            "fax_number": "205-941-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "VICTOR",
        "middle_name": "GRADY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "9727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Danielle Mullins, RBT
• Mallory Mullins
• Nicole Mullins, MS, RD, LD
• Samiyah Mullins
• Sara M. Mullins, M.D.
• Tanya Mumford, RBT
• Karsen Mumm
• Amanda Muncher, R.D.H.
• Muhammad Muneeb, M.D.
• Ayesha Noor Muneer

• Pharmacist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pharmacist in Alabama

• 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.

Verify at the official NPI Registry.