Individual provider Active NPI

Sally Anne Malkin Gilbert, RPH

  • Pharmacist
  • Hazleton, PA
National Provider Identifier
1205158185
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043422L Issued in PA
Practice address
Laurel Mall Route 93
Hazleton, PA 18201
Phone
(570) 455-5401
Fax
(570) 455-7284
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043422L PA Primary

Addresses

Primary practice location

Laurel Mall Route 93
Hazleton, PA 18201

Mailing address

1267 Valley of LKS
Hazleton, PA 18202-9286
Phone (570) 384-4168

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

LicenseStateTypeSpecialty
RP043422LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Winters Chiropractic & Physical Therapy, Inc. Current Accepting new patients

Organizations & group practices 1

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1205158185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 VALLEY OF LKS",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029286",
            "telephone_number": "570-384-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAUREL MALL ROUTE 93",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-455-5401",
            "fax_number": "570-455-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIN GILBERT",
        "first_name": "SALLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043422L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.