Malcolm Grow Medical Center

Primary specialty

Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X

Legal business name

MALCOLM GROW MEDICAL CENTER

Practice address

1060 W Perimeter Rd
JB Andrews, MD 20762-6602

Phone

(240) 612-1836

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Janet Berry

Title

Medical Staff Professional

Phone

(240) 612-2473

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tamara Nicole Patrick, PT,DPT

  • Physical Therapist
  • Walla Walla, WA
  • NPI 1942713029
  NPD

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1477350502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W PERIMETER RD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W PERIMETER RD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "240-612-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM GROW MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEDICAL STAFF PROFESSIONAL",
        "authorized_official_telephone_number": "240-612-2473"
    },
    "taxonomies": [
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MGMCSC",
            "identifier": "1518379395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Ligato, MD
• Kwanza Lincoln
• Sylvester Luu, D.O., FACP
• Ronnie Lyman Jr.
• Thomas Wescott Mahoney, MD
• Meaghan McCarthy, IDMT
• Sandra L McCatty, MD
• Kyle Park McClain, DO
• Joseph McIlvaine, PA-C
• Staci McNair

• Department of Veterans Affairs (VA) Pharmacy in JB Andrews, MD
• Providers in JB Andrews, MD by specialty
• Department of Veterans Affairs (VA) Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.