Individual provider Active NPI

Paul Mulvany, RPH. PHARMD.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1871045906
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44118 Issued in TX
Practice address
5445 La Sierra Dr
Ste 202
Dallas, TX 75231-4139
Phone
(469) 267-7762
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44118 TX Primary

Addresses

Primary practice location

5445 La Sierra Dr
Ste 202
Dallas, TX 75231-4139

Mailing address

1432 Grapevine Creek Dr
Coppell, TX 75019-3698
Phone (469) 487-4045

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

LicenseStateTypeSpecialty
44118TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Patmos Consulting LLC Past Accepting new patients
Patmos Consulting LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1871045906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 GRAPEVINE CREEK DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193698",
            "telephone_number": "469-487-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LA SIERRA DR",
            "address_2": "STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314139",
            "telephone_number": "469-267-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVANY",
        "first_name": "PAUL",
        "credential": "RPH. PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.