Active NPI
Anthony Peter Mallozzi, RPH
- Pharmacist
- Louisa, KY
National Provider Identifier
1134429574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015125
- Practice address
- 275 Walton Dr
Louisa, KY 41230-9322 - Phone
- (606) 673-4427
- Fax
- (606) 673-4804
- NPI assigned
- Nov 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015125 | KY | Primary |
| Pharmacist | 183500000X | 031284 | NY |
Addresses
Primary practice location
275 Walton Dr
Louisa, KY 41230-9322
Mailing address
275 Walton Dr
Louisa, KY 41230-9322
Phone (606) 673-4427
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015125 | KY | MD | Pharmacist |
| 031284 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1134429574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 WALTON DR",
"city": "LOUISA",
"state": "KY",
"postal_code": "412309322",
"telephone_number": "606-673-4427",
"fax_number": "606-673-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 WALTON DR",
"city": "LOUISA",
"state": "KY",
"postal_code": "412309322",
"telephone_number": "606-673-4427",
"fax_number": "606-673-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOZZI",
"first_name": "ANTHONY",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015125",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "031284",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.