Derenz Guarino Mallari

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026035 Issued in AZ

Practice address

20205 N 67TH Ave # 100
Glendale, AZ 85308-6659

Phone

(623) 572-8844

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By 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

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1144942798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 W PARADISE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062648",
            "telephone_number": "602-989-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20205 N 67TH AVE # 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086659",
            "telephone_number": "623-572-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "DERENZ",
        "middle_name": "GUARINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Malhotra, MD
• Makala Malichi
• Fareen Malik, M.D.
• Sara Malik, MD
• Malinka Care PLLC
• Alicia Mallery
• Malone Chiropractic PC
• Shaun Michael Malone, D.C.
• Erin Nicole Maloney
• April Maloy, L.P.N.

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.