Active NPI
Nomana Malik
- Pharmacist
- Ballwin, MO
National Provider Identifier
1063998011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2003001220
- Practice address
- 214 Straightoak CT
Ballwin, MO 63021-6566 - Phone
- (636) 230-6587
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2003001220 | MO | Primary |
Addresses
Primary practice location
214 Straightoak CT
Ballwin, MO 63021-6566
Mailing address
214 Straightoak CT
Ballwin, MO 63021-6566
Phone (636) 230-6587
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003001220 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1063998011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 STRAIGHTOAK CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216566",
"telephone_number": "636-230-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 STRAIGHTOAK CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216566",
"telephone_number": "636-230-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "NOMANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MO",
"license": "2003001220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.