Marcus Mallory, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2021031841 Issued in MO

Practice address

700 N Providence Rd
Columbia, MO 65203-4373

Phone

(573) 442-0194

Fax

(573) 443-8253

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1316613821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E GREEN MEADOWS RD APT 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013747",
            "telephone_number": "573-205-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034373",
            "telephone_number": "573-442-0194",
            "fax_number": "573-443-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "MARCUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021031841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taleha Malik
• Jaya Lalitha Mallela, MS
• Rachel Mallett, RN, FNP-BC, MSN
• Hanna Mallien, MD
• Emma L Mallory, NP-C
• Mallott Family Dental, Inc.
• Johnathan Lewis Mallott, DDS
• Elizabeth Ashiokor Malm-Buatsi, M.D.
• Lynn Maloney, L.AC.
• Cayla Leigh Malter, MSW, LCSW

• Pharmacist in Columbia, MO
• Providers in Columbia, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.