Active NPI
Daniel Ryan Mullins, PHARMD
- Pharmacist
- Mount Gay, WV
National Provider Identifier
1932545647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202211682
- Practice address
- 164 Holden Rd
Mount Gay, WV 25637 - Phone
- (304) 239-2020
- Fax
- (304) 239-3468
- NPI assigned
- May 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0008033 | WV | |
| Pharmacist | 183500000X | 0202211682 | VA | Primary |
Addresses
Primary practice location
164 Holden Rd
Mount Gay, WV 25637
Mailing address
PO Box 1251
Mount Gay, WV 25637-1251
Phone (304) 239-2020
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 |
|---|---|---|---|
| 0202211682 | VA | MD | Pharmacist |
| RP0008033 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1932545647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1251",
"city": "MOUNT GAY",
"state": "WV",
"postal_code": "256371251",
"telephone_number": "304-239-2020",
"fax_number": "304-239-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 HOLDEN RD",
"city": "MOUNT GAY",
"state": "WV",
"postal_code": "25637",
"telephone_number": "304-239-2020",
"fax_number": "304-239-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "DANIEL",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008033",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.