Active NPI
Brody McNulty, RPH
- Pharmacist
- Canal Winchester, OH
National Provider Identifier
1295517910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03443763
- Practice address
- 6266 Gender Rd
Canal Winchester, OH 43110-2042 - Phone
- (614) 920-0287
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 03443763 | OH | Primary |
Addresses
Primary practice location
6266 Gender Rd
Canal Winchester, OH 43110-2042
Mailing address
250 Brodbelt LN Apt 120
Columbus, OH 43215-2456
Phone (740) 605-3353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03443763 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1295517910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BRODBELT LN APT 120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152456",
"telephone_number": "740-605-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6266 GENDER RD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431102042",
"telephone_number": "614-920-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "BRODY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03443763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.