NPIMap

Organization Active NPI

Guardian Pharmacy of Cincinnati, LLC

  • Long Term Care Pharmacy
  • Fairborn, OH
National Provider Identifier
1801406780
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GUARDIAN PHARMACY OF CINCINNATI, LLC
Practice address
1825 Commerce Center Blvd Ste 121
Fairborn, OH 45324-6336
Phone
(513) 242-5700
Fax
(513) 482-5461
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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) 587-6201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1825 Commerce Center Blvd Ste 121
Fairborn, OH 45324-6336

Mailing address

1825 Commerce Center Blvd Ste 121
Fairborn, OH 45324-6336
Phone (513) 242-5700

Other names 1

  • Mullaney's Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mullaneys.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Guardian Pharmacy of Cincinnati LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1825 Commerce Center Blvd
Ste 121
Fairborn, OH 45324
Phone (513) 242-5700

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1801406780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE CENTER BLVD STE 121",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246336",
            "telephone_number": "513-242-5700",
            "fax_number": "513-482-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE CENTER BLVD STE 121",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246336",
            "telephone_number": "513-242-5700",
            "fax_number": "513-482-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-587-6201"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "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": "OTHERS",
            "endpointTypeDescription": "Other 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": "5275 Winneste Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452321130",
            "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 Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.