JERRY WAYNE MULLINS (NPI# 1225337405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225337405 |
| Entity Type | Individual |
| Full Name | JERRY WAYNE MULLINS |
| Credential | PHARMD. |
| Practice Address |
426 Village Ln Hazard KY 41701-9405 |
| Mailing Address |
Po Box 135 Dwarf KY 41739-0135 |
| Practice Telephone | 6064362117 |
| Practice Fax Number | 6064366344 |
| Mailing Telephone | 6063782620 |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2011-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 012909 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124129275 | Jerry Mullins | Counselor | 201 22nd St, Ashland, KY 41101-7803 | 2006-09-25 |
| Street Address |
426 VILLAGE LN |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306369822 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 426 Village Ln, Hazard, KY 41701-9405 | 2017-07-18 |
| 1679829725 | Kyndra Nikida Tattiana Coots | Pharmacist | 426 Village Ln, Hazard, KY 41701-9405 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574270 | Krystal Dawn Anderson | Pharmacist | 241 Elk Run, Hazard, KY 41701-8260 | 2017-01-15 |
| 1679704795 | Jeri Lynn Howard | Pharmacist | 210 Black Gold Blvd Ste 104, Hazard, KY 41701-2620 | 2009-08-06 |
| 1912035387 | Charles J. Gross | Pharmacist | 50 Morton Blvd, Hazard, KY 41701-9447 | 2007-02-28 |
| 1346841533 | Bobby Coots | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-04 |
| 1972103588 | Michael Mcintosh | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-01 |
| 1922616200 | Charles Tyler Wells | Pharmacist | 221 E Main St, Hazard, KY 41701-1920 | 2020-07-22 |
| 1932720257 | Hailey Kuracka | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-04-27 |
| 1295355329 | Christopher Case | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2020-04-18 |
| 1528539103 | Anthony Gene Hurt | Pharmacist | 101 Town and Country Ln Ste 101, Hazard, KY 41701-9524 | 2018-12-07 |
| 1306344775 | Brian Scott Hancock | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2018-01-31 |
| Find all providers in HAZARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.