Active NPI
Martin James Mullaney, RPH
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1679897714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03107777
- Practice address
- 6096 Montgomery Rd
Cincinnati, OH 45213-1618 - Phone
- (513) 731-1400
- Fax
- (513) 458-6133
- NPI assigned
- Mar 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03107777 | OH | Primary |
| Pharmacist | 183500000X | 6862 | SC |
Addresses
Primary practice location
6096 Montgomery Rd
Cincinnati, OH 45213-1618
Mailing address
6096 Montgomery Rd
Cincinnati, OH 45213-1618
Phone (513) 731-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03107777 | Other | OH | OHIO PHARMACIST |
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 |
|---|---|---|---|
| 03107777 | OH | MD | Pharmacist |
| 6862 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1679897714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6096 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452131618",
"telephone_number": "513-731-1400",
"fax_number": "513-458-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6096 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452131618",
"telephone_number": "513-731-1400",
"fax_number": "513-458-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANEY",
"first_name": "MARTIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03107777",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6862",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PHARMACIST",
"identifier": "03107777",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}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 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.