Active NPI
Mullaney Medical Inc
- Long Term Care Pharmacy
- Cincinnati, OH
National Provider Identifier
1073670014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 021620600
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080487 | Other | PK | |
| 2684108 | Medicaid | OH |
Other names 1
- MULLANEYS LTC PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.