Active NPI
Jacy Malone, PHARM.D., RPH
- Pharmacist
- Amarillo, TX
National Provider Identifier
1124571237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58701
- Practice address
- 1300 S Coulter St
Amarillo, TX 79106-1712 - Phone
- (806) 414-9390
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 58701 | TX | Primary |
Addresses
Primary practice location
1300 S Coulter St
Amarillo, TX 79106-1712
Mailing address
1515 Bowie St
Amarillo, TX 79102-2502
Phone (903) 461-1891
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58701 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1124571237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 BOWIE ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791022502",
"telephone_number": "903-461-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061712",
"telephone_number": "806-414-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "JACY",
"credential": "PHARM.D., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.