Malcolm Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025096 Issued in NY

Legal business name

MALCOLM PHARMACY INC

Practice address

160 Lenox Ave
New York, NY 10026-1319

Phone

(212) 722-1550

Fax

(212) 722-4461

NPI assigned

Sep 27, 2006

Organization subpart

No

Name

Mallikarjuna Reddy Bommareddy

Title

President

Phone

(212) 722-1550

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravikumar Talluri

  • Pharmacist
  • North Bergen, NJ
  • NPI 1619392784
  NPD
• Srikanth R Chamakura, R.P.H.

  • Pharmacist
  • New York, NY
  • NPI 1235377136
  NPD (past)
• Neesha Jhaveri, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1326592494
  NPD (past)
• Priya Philip, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1265069728
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2023.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1346331998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261319",
            "telephone_number": "212-722-1550",
            "fax_number": "212-722-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261319",
            "telephone_number": "212-722-1550",
            "fax_number": "212-722-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BOMMAREDDY",
        "authorized_official_first_name": "MALLIKARJUNA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-722-1550"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02188856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alefiyah Malbari, M.D.
• Katherine Mary Malbon, M.D.
• Flavio Malcher Martins de Oliveira, MD, MSC
• Yekaterina Malchik, OTR/L
• Malcolm D Reid
• Malcolm X Pharmacy Corp
• Mallesha Malcolm, CNM, WHNP-BC
• Rosie M. Malcolm, NP
• Mark Donald Malcom, MD
• Grace Anne Maldarelli, M.D.

• All providers in New York, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.