Malena Bullard, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS32524 Issued in FL

Practice address

1205 S Woodland Blvd Ste 5
Deland, FL 32720

Phone

(386) 888-4912

Fax

(386) 269-9950

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1003102914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 DAKOTA DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327249636",
            "telephone_number": "310-634-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S WOODLAND BLVD STE 5",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-888-4912",
            "fax_number": "386-269-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Enterprise Rd",
            "address_2": "Target Pharmacy store number T0874",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637960",
            "country_code": "US",
            "telephone_number": "386-774-6477",
            "fax_number": "386-774-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "MALENA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS32524",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH50132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Browning, MT
• Bruce L Bigman MD PA
• Carrie Bryant, LMT
• Kylie A Buatsi, CCC-SLP
• David Joseph Buczkowske, D.O.
• Silver Buonocore, LMHC
• Gina Burroughs, LMT
• Katherine Burtis, DC
• Sunshine Michele Bush, MA, CCC-SLP
• Ernesto Bustinza Linares, M.D.

• Pharmacist in Deland, FL
• Providers in Deland, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.