Sunil Malhotra MD LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUNIL MALHOTRA MD LLC

Doing business as

Goodman Pharmacy

Practice address

470 Goodman Rd E
Southaven, MS 38671-9557

Phone

(662) 536-3331

Fax

(662) 536-3329

NPI assigned

Aug 15, 2016

Last updated

May 4, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

GOOMAN MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Dr. Sunil Malhotra, MDNPI 1841369907

Title

Owner/Physician

Phone

(662) 536-3331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOODMAN PHARMACY Doing business as

Tax ID family

Sunil Malhotra MD2 organizations share this tax ID, including this one

Part of

Sunil Malhotra MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunil Malhotra

  dba Goodman Medical Clinic

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1982936126
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunil Malhotra, MD

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1841369907
  NPD Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1295289650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719557",
            "telephone_number": "662-536-3331",
            "fax_number": "662-536-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719557",
            "telephone_number": "662-536-3331",
            "fax_number": "662-536-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL MALHOTRA MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOMAN MEDICAL CLINIC",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "662-536-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02909778",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Strauser, OTR
• Sara Streete
• Strong Medical Equipment, LLC
• Lauren Smith Sultan, OTR
• Sunil Malhotra (Goodman Medical Clinic)
• Supportive Services LLC
• Supreme Care
• Madelin Swadley
• Kayla Lavelle Sweeten, MD
• Valencia Swims, MD

• Community/Retail Pharmacy in Southaven, MS
• Providers in Southaven, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.