BRADLEY S DEEGAN (NPI# 1528119856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528119856 |
| Entity Type | Individual |
| Full Name | BRADLEY S DEEGAN |
| Credential | PHARMD |
| Practice Address |
311 Straight St Cincinnati OH 45219-1018 |
| Mailing Address |
3392 Woodlyn Hills Dr Erlanger KY 41018-2600 |
| Practice Telephone | 5135592346 |
| Practice Fax Number | 5134755269 |
| Mailing Telephone | 8594267764 |
| Mailing Fax Number | 5134755269 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 012193 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03-1-24778 | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY PHARMACIST LICENSE # | 012193 | 01 |
| OH | OHIO PHARMACIST LICENSE # | 03-1-24778 | 01 |
| Street Address |
311 STRAIGHT ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972379 | John Paul | Emergency Medicine | 311 Straight St, Cincinnati, OH 45219-1018 | 2005-06-17 |
| 1558603779 | Imari Healthcare, LLC | Internal Medicine | 311 Straight St, Cincinnati, OH 45219-1018 | 2013-03-26 |
| 1497049191 | Deaconess Diagnostic, LLC | Physiological Laboratory | 311 Straight St, Cincinnati, OH 45219-1018 | 2011-05-31 |
| 1982937603 | Comprehensive Cardiology Consultants | Nurse Practitioner | 311 Straight St, Suite 301, Cincinnati, OH 45219-1018 | 2009-09-14 |
| 1558591388 | Kristina Marie Reinstatler | Pharmacist | 311 Straight St, Uc Health University Hospital Psych Pharmacy, Cincinnati, OH 45219-1018 | 2009-07-14 |
| 1730220542 | Regency Hospital | Rehabilitation Unit | 311 Straight St, 4th Floor, Cincinnati, OH 45219-1018 | 2007-02-12 |
| 1851445415 | Robert E Baker | Spec/Tech, Cardiovascular | 311 Straight St, Cincinnati, OH 45219-1018 | 2007-01-22 |
| 1275614620 | Deaconess Hospital of Cincinnati Oh | Rehabilitation Unit | 311 Straight St, Cincinnati, OH 45219-1018 | 2006-10-18 |
| 1881628287 | Deaconess Hospital of Cincinnati Oh | Psychiatric Unit | 311 Straight St, Cincinnati, OH 45219-1018 | 2006-07-10 |
| 1245269034 | Cincinnati Sportsmedicine and Orthopaedic Center, Inc. | Specialist | 311 Straight St, Cincinnati, OH 45219-1018 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969354 | Cara Felix | Pharmacist | 5588 Squirrel Run, Cincinnati, OH 45247-3615 | 2020-07-16 |
| 1467078758 | Adam Gabriel Friedman | Pharmacist | 409 Milton St Apt 2, Cincinnati, OH 45202-9006 | 2020-06-22 |
| 1265057491 | Dina Abouelseoud | Pharmacist | 1982 8 Mile Rd, Cincinnati, OH 45255-2609 | 2020-06-12 |
| 1124656517 | Charles Mcclure | Pharmacist | 1580 Blue Rock St Unit 420, Cincinnati, OH 45223-2745 | 2020-03-31 |
| 1598399149 | Quang Tran | Pharmacist | 5328 Moeller Ave, Cincinnati, OH 45212-1616 | 2020-02-22 |
| 1851922793 | Jonathan Corey Hampton | Pharmacist | 4434 Festive Ct, Cincinnati, OH 45245-1410 | 2020-01-29 |
| 1730719212 | Robert Riepenhoff | Pharmacist | 260 Stetson St Ste F, Cincinnati, OH 45219-2498 | 2020-01-23 |
| 1336787977 | Brooke Moorhead | Pharmacist | 234 Goodman St # 0739, Cincinnati, OH 45219-2364 | 2019-12-13 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.