Active NPI
Brad Allen Hively, R.PH.
- Pharmacist
- Georgetown, OH
National Provider Identifier
1245280338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-1-20790
- Practice address
- 4869 State Route 125
Georgetown, OH 45121-9550 - Phone
- (937) 378-6849
- Fax
- (937) 378-2679
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-1-20790 | OH | Primary |
Addresses
Primary practice location
4869 State Route 125
Georgetown, OH 45121-9550
Mailing address
6035 State Route 505
Georgetown, OH 45121-9773
Phone (937) 375-1104
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245280338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 STATE ROUTE 505",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451219773",
"telephone_number": "937-375-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4869 STATE ROUTE 125",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451219550",
"telephone_number": "937-378-6849",
"fax_number": "937-378-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIVELY",
"first_name": "BRAD",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-1-20790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, OH
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.