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DR. BRADY THOMAS MCNULTY PHARMD
NPI 1629353321
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Roseburg, OR

Active since October 13, 2011
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 492-2078 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2025, Sep 18, 2021, Mar 22, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Brady Thomas Mcnulty Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADY THOMAS MCNULTY PHARMD (NPI 1629353321) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Roseburg, Oregon, licensed in Oregon (RPH-14405) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1629353321
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. BRADY THOMAS MCNULTYCredential: PHARMD
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042 · (541) 492-2078
Phone(541) 492-2078
Sole ProprietorNo
Enumeration DateOctober 13, 2011
Last NPPES UpdateJuly 9, 20254 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1629353321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
Licenses✔ Licensed in OR · RPH-14405✔ Licensed in OR · 14405
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License 55018 (TX), 14405 (OR)
150 NE KENNETH FORD DR, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
UMPQUA COMMUNITY HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Mcnulty's NPI number?

The NPI number for Brady Mcnulty is 1629353321. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Brady Mcnulty located?

Brady Mcnulty practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 492-2078.

What is Brady Mcnulty's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Brady Mcnulty was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.