Individual provider Active NPI

Molly Bridget Corma, PHARMD

  • Pharmacist
  • Wilkes Barre, PA
National Provider Identifier
1043933914
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP457210 Issued in PA
Practice address
620 Baltimore Dr Ste 200
Wilkes Barre, PA 18702-7958
Phone
(570) 284-3756
NPI assigned
Sep 26, 2022
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP457210 PA Primary

Addresses

Primary practice location

620 Baltimore Dr Ste 200
Wilkes Barre, PA 18702-7958

Mailing address

620 Baltimore Dr Ste 200
Wilkes Barre, PA 18702-7958

Other names 1

  • Molly Bridget Balliet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP457210PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC PastSince Oct 1, 2022 Accepting new patients
Rite Aid of Pennsylvania LLC PastSince Oct 1, 2022 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1043933914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BALTIMORE DR STE 200",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BALTIMORE DR STE 200",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027958",
            "telephone_number": "570-284-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMA",
        "first_name": "MOLLY",
        "middle_name": "BRIDGET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP457210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BALLIET",
            "middle_name": "BRIDGET",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.