Active NPI
Maly Khov, PHARM.D
- Pharmacist
- Renton, WA
National Provider Identifier
1225468309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 60640448
- Practice address
- 4300 NE 4TH St
Renton, WA 98059-5008 - Phone
- (425) 873-2091
- NPI assigned
- Nov 26, 2013
- Last updated
- May 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0015869 | OR | |
| Pharmacist | 183500000X | PH 60640448 | WA | Primary |
Addresses
Primary practice location
4300 NE 4TH St
Renton, WA 98059-5008
Mailing address
4300 NE 4TH St
Renton, WA 98059-5008
Other practice location 1
2295 Gable Rd
Saint Helens, OR 97051-3005
Phone (503) 366-5157
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH 60640448 | WA | MD | Pharmacist |
| RPH-0015869 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1225468309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 NE 4TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980595008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 NE 4TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980595008",
"telephone_number": "425-873-2091"
}
],
"practiceLocations": [
{
"address_1": "2295 Gable Rd",
"address_purpose": "LOCATION",
"city": "Saint Helens",
"state": "OR",
"postal_code": "970513005",
"country_code": "US",
"telephone_number": "503-366-5157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOV",
"first_name": "MALY",
"name_prefix": "Ms.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0015869",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60640448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.