Individual provider Active NPI

Deborah Malpica, PHARMD

  • Pharmacist
  • Pflugerville, TX
National Provider Identifier
1144872722
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51808 Issued in TX
Practice address
1615 Grand Avenue Pkwy Ste 104
Pflugerville, TX 78660-2060
Phone
(512) 377-1999
NPI assigned
Jul 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51808 TX Primary

Addresses

Primary practice location

1615 Grand Avenue Pkwy Ste 104
Pflugerville, TX 78660-2060

Mailing address

2906 Zeke BND
Austin, TX 78745-8016

Other names 1

  • Deborah Medina Former name

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

State licenses

LicenseStateTypeSpecialty
51808TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Adlakha Investments Inc Past Accepting new patients
Grand Ave Pharmacy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1144872722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 ZEKE BND",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787458016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 GRAND AVENUE PKWY STE 104",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602060",
            "telephone_number": "512-377-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPICA",
        "first_name": "DEBORAH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MEDINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.