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

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mallikarjuna Reddy Bommareddy

Title

President

Phone

(212) 722-1550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 4

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.

• 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)

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

{
    "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": [],
    "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 (Malcolm X Pharmacy)
• Mallesha Malcolm, CNM, WHNP-BC
• Rosie M. Malcolm, NP
• Mark Donald Malcom, MD
• Grace Anne Maldarelli, M.D.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• 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.