Active NPI
Mallorie Mae Dukmen
- Pharmacist
- Gilbertsville, PA
National Provider Identifier
1083580195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP459827
- Practice address
- 173 Holly Rd
Gilbertsville, PA 19525-9367 - Phone
- (610) 473-3204
- NPI assigned
- Oct 15, 2025
- Last updated
- Oct 15, 2025
- 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 | RP459827 | PA | Primary |
Addresses
Primary practice location
173 Holly Rd
Gilbertsville, PA 19525-9367
Mailing address
7 W Penn St
Schuylkill Haven, PA 17972-1944
Phone (570) 573-9051
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 |
|---|---|---|---|
| RP459827 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1083580195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 W PENN ST",
"city": "SCHUYLKILL HAVEN",
"state": "PA",
"postal_code": "179721944",
"telephone_number": "570-573-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 HOLLY RD",
"city": "GILBERTSVILLE",
"state": "PA",
"postal_code": "195259367",
"telephone_number": "610-473-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKMEN",
"first_name": "MALLORIE",
"middle_name": "MAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP459827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbertsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.