Active NPI
Shantel Marie Mullin, PHARMD
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1992745798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 95-295849-1701
- Practice address
- Department of Pharmacy Services
50 North Medical Drive, a-050
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2147
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 95-295849-1701 | UT | Primary |
| Pharmacist | 183500000X | P5141 | ID |
Addresses
Primary practice location
Department of Pharmacy Services
50 North Medical Drive, a-050
Salt Lake City, UT 84132-0001
Mailing address
2137 King St
Salt Lake City, UT 84109-1301
Phone (801) 581-2147
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 |
|---|---|---|---|
| P5141 | ID | MD | Pharmacist |
| 95-295849-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1174819734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992745798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 KING ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091301",
"telephone_number": "801-581-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF PHARMACY SERVICES",
"address_2": "50 NORTH MEDICAL DRIVE, A-050",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "SHANTEL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "95-295849-1701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.