Active NPI
Jacqueline Mireille Beyala, PHARMD
- Pharmacist
- Malvern, PA
National Provider Identifier
1548026289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH200004869
- Practice address
- 75 Valley Stream Pkwy
Malvern, PA 19355-1459 - Phone
- (610) 889-4000
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 | PH200004869 | DC | Primary |
Addresses
Primary practice location
75 Valley Stream Pkwy
Malvern, PA 19355-1459
Mailing address
10763 Venetia Mill Cir
Silver Spring, MD 20901-1585
Phone (240) 603-1172
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH200004869 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1548026289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10763 VENETIA MILL CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011585",
"telephone_number": "240-603-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VALLEY STREAM PKWY",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551459",
"telephone_number": "610-889-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYALA",
"first_name": "JACQUELINE",
"middle_name": "MIREILLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH200004869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.