Mallory Graham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-031744 Issued in GA

Practice address

5401 Abercorn St
Savannah, GA 31405-6901

Phone

(912) 356-3170

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By 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

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

Interoperability endpoints

• Direct secure messaging: rx05520@cvshealth.com

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1013511195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056901",
            "telephone_number": "912-356-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MALLORY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH-031744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RX05520@CVSHealth.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "GEORGIA CVS PHARMACY LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work Email",
            "address_1": "5401 Abercorn St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314056901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenda B. Graham, PHD
• C. Thomas Graham, D.M.D.
• Carlos Devone Graham, MSW, LCSW
• Kelly Graham
• Kristen Graham
• Marjorie Karen Graham
• Sarah S Graham, CRNA
• Shanika Graham, FNP-BC
• Sonia Graham
• Summer Granado, PMHNP

• Pharmacist in Savannah, GA
• Providers in Savannah, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.