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DR. BRADY THOMAS MCNULTY PHARMD NPI 1629353321


NPI Information

NPI: 1629353321
Provider Name: DR. BRADY THOMAS MCNULTY, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
113 E CENTRAL AVE
SUTHERLIN, OR
ZIP 97479
Phone: (541) 459-2712
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DR. Brady Thomas Mcnulty, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Sutherlin, OR. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Brady Thomas Mcnulty, PHARMD NPI is 1629353321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

113 E CENTRAL AVE
SUTHERLIN, OR
ZIP 97479-556
Phone: (541) 459-2712
Fax: (541) 459-9129

The enumeration date for this NPI number is 10/13/2011 and was last updated on 9/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist55018TEXASNo
2183500000XPharmacist14405OREGONNo
31835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist14405OREGONNo
41835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-14405OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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