Mallory Chapman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9192 Issued in ID

Practice address

1450 N 2ND E
Rexburg, ID 83440-5131

Phone

(208) 359-2814

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1013502707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MARGETTE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022964",
            "telephone_number": "208-569-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405131",
            "telephone_number": "208-359-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MALLORY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P9192",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhanse.s01878.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "1450 N 2nd E",
            "city": "Rexburg",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834405131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryan Daniel Celis
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• Centerpoint Psychiatry and Family Practice
• Tailie Chamberlin, FNP-C
• Brian Jean Chapman, PHARMD
• Amanda Auralee Cherrington, PMHNP
• Jonathan Chidester, OTR/L
• Child and Family Resource
• Brian Wade Christensen, M.D.
• Louie Cibrian

• Pharmacist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.