DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADY THOMAS MCNULTY, PHARMD

Active

Pharmacist Clinician (PhC) · ROSEBURG, OR

Registration Details

NPI Number
1629353321
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2011 (14.527596953596 yrs)
Last Updated
Jul 9, 2025
Licenses
55018 (TX)
14405 (OR)
14405 (OR)
RPH-14405 (OR)

Practice Information

Address
150 NE KENNETH FORD DR
ROSEBURG, OR, 974701042
Browse OR providers · Browse ZIP 97470
Phone
5414922078
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist Clinician (PhC)
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in ROSEBURG, OR

Name Credential NPI
MR. BURNELL JASON BOEHLAND 1114179918
DR. LANCHI THAI NGUYEN 1104126135
BALJIT S BRAR PHARM D 1548552144
KARLA CHOY PHARM.D. 1538454293
MR. ERIC STEVE ROBERTS PHARM.D. 1508154758
DANFENG CAI PHARM.D 1841571486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.