Individual provider Active NPI

Monika Lynn Brodman, PHARM.D.

  • Pharmacist
  • Cleveland, OH
National Provider Identifier
1730476375
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03129338 Issued in OH
Practice address
9500 Euclid Ave # DD-30
Cleveland, OH 44195-1002
Phone
(216) 445-0873
Fax
(216) 636-5272
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03129338 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # DD-30
Cleveland, OH 44195-1002

Mailing address

566 Andover Cir
Broadview Heights, OH 44147-4251
Phone (937) 367-5860

Other names 1

  • Miss Monika Lynn Coletto Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03129338OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1730476375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 ANDOVER CIR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474251",
            "telephone_number": "937-367-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # DD-30",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951002",
            "telephone_number": "216-445-0873",
            "fax_number": "216-636-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODMAN",
        "first_name": "MONIKA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIKA",
            "last_name": "COLETTO",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.