Active NPI
Joseph Malczyn
- Pharmacist
- Wilmington, NC
National Provider Identifier
1356733786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23116
- Practice address
- 5105 Old Garden Rd
Wilmington, NC 28403-4093 - Phone
- (910) 395-5057
- NPI assigned
- Feb 23, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23116 | NC | Primary |
Addresses
Primary practice location
5105 Old Garden Rd
Wilmington, NC 28403-4093
Mailing address
5105 Old Garden Rd
Wilmington, NC 28403-4093
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23116 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1356733786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 OLD GARDEN RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034093",
"fax_number": "443-800-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 OLD GARDEN RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034093",
"telephone_number": "910-395-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCZYN",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.