Active NPI
Guardian Pharmacy of Cincinnati, LLC
- Long Term Care Pharmacy
- Cincinnati, OH
National Provider Identifier
1417567892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GUARDIAN PHARMACY OF CINCINNATI, LLC
- Practice address
- 11930 Kemper Springs Dr Ste 100
Cincinnati, OH 45240-1642 - Phone
- (513) 587-6202
- Fax
- (513) 587-7650
- NPI assigned
- Jul 31, 2020
- 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
- Title
- President/Owner
- Phone
- (513) 587-6202
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
11930 Kemper Springs Dr Ste 100
Cincinnati, OH 45240-1642
Mailing address
11930 Kemper Springs Dr Ste 100
Cincinnati, OH 45240-1642
Phone (513) 587-6202
Other names 1
- Mullaney's Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mullaneys.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220107000269 | OH | Part B Supplier - Pharmacy | 3577954247 |
1 other NPI on this enrollment Practice locations: Cincinnati, OH |
| O20220207000616 | OH | DME Supplier - Pharmacy | 3577954247 | Practice locations: Cincinnati, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Long Term Care Pharmacy
- Cincinnati, OH
- NPI 1013527498
O20220107000269
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Guardian Pharmacy of Cincinnati, LL | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Pharmacy of Cincinnati LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Cincinnati, OH
- NPI 1417625773
-
- Long Term Care Pharmacy
- Fairborn, OH
- NPI 1801406780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1417567892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11930 KEMPER SPRINGS DR STE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401642",
"telephone_number": "513-587-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 KEMPER SPRINGS DR STE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401642",
"telephone_number": "513-587-6202",
"fax_number": "513-587-7650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN PHARMACY OF CINCINNATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-31",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "MULLANEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "513-587-6202"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mullaneys.com/",
"affiliation": "N",
"endpointDescription": "HIE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Exchange (HIE)",
"address_1": "6096 Montgomery Rd",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452131618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mullaney's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mullaney's 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 Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.