Ronald James Malsam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202005051 Issued in VA

Practice address

10090 Fairfax Blvd
Fairfax, VA 22030-1741

Phone

(703) 273-5796

Fax

(703) 691-8640

NPI assigned

Nov 27, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Virginia CVS Pharmacy LLC

  • Pharmacy
  • Fairfax, VA
  • NPI 1649378100
  NPD (past)
• Virginia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1205430535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 BERRITT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303521",
            "telephone_number": "703-431-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301741",
            "telephone_number": "703-273-5796",
            "fax_number": "703-691-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSAM",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202005051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Thomas Malone, PSYD
• Erin M Maloney Bailey
• Karin Annette Maloney, MS, CF-SLP
• Shannon Nicole Maloney
• Suzanne Messer Malouf, CRNP
• Janice Manase
• Prem Manchanda, M.D.
• Sumerta Manchandani, M.D
• Paulina J Mancoske, DNP, FNP-BC, NP-C
• Kristen Ann Mancuso, RN

• Pharmacist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.