Mark Stephan Mallonee Jr., PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

30840 Issued in MD

Practice address

12500 Country Club Mall Rd
Lavale, MD 21502-7553

Phone

(301) 729-5088

NPI assigned

Jul 22, 2026

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1134040421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 COUNTRY CLUB MALL RD",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 COUNTRY CLUB MALL RD",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027553",
            "telephone_number": "301-729-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLONEE",
        "first_name": "MARK",
        "middle_name": "STEPHAN",
        "name_suffix": "Jr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "30840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lavale, MD
• Providers in Lavale, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.