Active NPI
Brandon Michael McKinney, PHARMD
- Pharmacist
- Cleveland, OH
National Provider Identifier
1811542582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439091
- Practice address
- 3402 Clark Ave
Cleveland, OH 44109-1136 - Phone
- (216) 961-9414
- Fax
- (216) 651-8205
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 03439091 | OH | Primary |
Addresses
Primary practice location
3402 Clark Ave
Cleveland, OH 44109-1136
Mailing address
8375 Shorthorn Dr
Sagamore Hills, OH 44067-3225
Phone (330) 467-9635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03439091 | Other | OH | PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BMcKinney64256@rx.lecom.edu | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03439091 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 03157
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1649286956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1811542582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8375 SHORTHORN DR",
"city": "SAGAMORE HILLS",
"state": "OH",
"postal_code": "440673225",
"telephone_number": "330-467-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 CLARK AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091136",
"telephone_number": "216-961-9414",
"fax_number": "216-651-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "03439091",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BMcKinney64256@rx.lecom.edu",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3402 Clark Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441091136",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.