Active NPI
Malorie Moreland
- Pharmacy
- Rogers, AR
National Provider Identifier
1225516701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PD14596
- Practice address
- 2110 W Walnut St
Rogers, AR 72756-3246 - Phone
- (479) 636-8238
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PD14596 | AR | Primary |
Addresses
Primary practice location
2110 W Walnut St
Rogers, AR 72756-3246
Mailing address
39 Alton Cir
Rogers, AR 72756-9252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14596 | AR | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1225516701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ALTON CIR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727569252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563246",
"telephone_number": "479-636-8238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND",
"first_name": "MALORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "PD14596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.