Ian Charles McMullen, PHARM.D., RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

60479 Issued in NY

Practice address

222 Solar Ave
Monte Vista, CO 81144-1066

Phone

(907) 202-6132

Fax

(719) 852-9897

NPI assigned

Jul 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Purgatory Pharmaceutical Services LLC

  • Community/Retail Pharmacy
  • Monte Vista, CO
  • NPI 1801582341
  NPD Authorized official
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Soldotna, AK
  • NPI 1992186746
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1952786105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOLAR AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441066",
            "telephone_number": "907-202-6132",
            "fax_number": "719-852-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOLAR AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441066",
            "telephone_number": "907-202-6132",
            "fax_number": "719-852-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "IAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0022164",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "101335",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "60479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Manriquez, PHARM.D.
• Laura Lee Martin, FNP
• Stephanie Ann Maxfield, MSW, LCSW
• Shania McAlear
• Cathy McCurdy, PAC
• Ryan Jake Mellott, PT
• Mark J Mills, D.D.S.
• Monte Vista Community Ambulance Service
• Monte Vista Community Ambulance Service
• Monte Vista Estates, LLC

• Pharmacist in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.