Active NPI
James Reid Malone, R.PH,CGP.
- Geriatric Pharmacist
- Decatur, GA
National Provider Identifier
1356635189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 12785
- Practice address
- 201 W Ponce de Leon Ave
431
Decatur, GA 30030-3217 - Phone
- (404) 275-9202
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 12785 | GA | Primary |
Addresses
Primary practice location
201 W Ponce de Leon Ave
431
Decatur, GA 30030-3217
Mailing address
PO Box 5911
Atlanta, GA 31107-0911
Phone (404) 377-9681
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12785 | GA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1356635189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5911",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311070911",
"telephone_number": "404-377-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PONCE DE LEON AVE",
"address_2": "431",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303217",
"telephone_number": "404-275-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "JAMES",
"middle_name": "REID",
"name_prefix": "Mr.",
"credential": "R.PH,CGP.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "GA",
"license": "12785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.