Organization Active NPI

Mullaney Medical Inc

  • Long Term Care Pharmacy
  • Cincinnati, OH
National Provider Identifier
1073670014
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
021620600 Issued in OH
Legal business name
MULLANEY MEDICAL INC
Doing business as
MULLANEYS LTC PHARMACY
Practice address
6096 Montgomery Rd
Suite B
Cincinnati, OH 45213-1618
Phone
(513) 587-6202
Fax
(513) 587-7650
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Thomas Mullaney, RPH
Title
President
Phone
(513) 587-6201

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 021620600 OH Primary

Addresses

Primary practice location

6096 Montgomery Rd
Suite B
Cincinnati, OH 45213-1618

Mailing address

6096 Montgomery Rd
Suite B
Cincinnati, OH 45213-1618
Phone (513) 587-6202

Other identifiers 2

IdentifierTypeStateIssuer
2080487OtherPK
2684108MedicaidOH

Other names 1

  • MULLANEYS LTC PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

6096 Montgomery Rd
Ste B
Cincinnati, OH 45213
Phone (513) 587-6202

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1073670014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 MONTGOMERY RD",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131618",
            "telephone_number": "513-587-6202",
            "fax_number": "513-587-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 MONTGOMERY RD",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131618",
            "telephone_number": "513-587-6202",
            "fax_number": "513-587-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLANEY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-587-6201",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021620600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080487",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2684108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MULLANEYS LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.