Individual provider Active NPI

Cheryl Anne Malone, PHARM.D.

  • Pharmacist
  • Tolleson, AZ
National Provider Identifier
1205181500
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S021026 Issued in AZ
Practice address
9830 W Lower Buckeye Rd
Tolleson, AZ 85353-1401
Phone
(623) 687-2137
Fax
(623) 696-3807
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13768 SC
Pharmacist 183500000X S021026 AZ Primary

Addresses

Primary practice location

9830 W Lower Buckeye Rd
Tolleson, AZ 85353-1401

Mailing address

9830 W Lower Buckeye Rd
Tolleson, AZ 85353-1401
Phone (623) 687-2137

Other identifiers 1

IdentifierTypeStateIssuer
4223171OtherSCNABP

Other names 1

  • Cheryl Anne Knapp 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
13768SCMDSocial Worker
S021026AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1205181500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 W LOWER BUCKEYE RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531401",
            "telephone_number": "623-687-2137",
            "fax_number": "623-696-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 W LOWER BUCKEYE RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531401",
            "telephone_number": "623-687-2137",
            "fax_number": "623-696-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CHERYL",
        "middle_name": "ANNE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13768",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4223171",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "KNAPP",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.