Nour Malas, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

16760-40 Issued in WI

Practice address

2206 Washington St
Two Rivers, WI 54241-2241

Phone

(920) 793-8352

NPI assigned

Apr 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1548604804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W148N6912 TERRIWOOD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530515079",
            "telephone_number": "414-630-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 WASHINGTON ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412241",
            "telephone_number": "920-793-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAS",
        "first_name": "NOUR",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16760-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose M Loucks
• Tyler Luedtke, DPT
• Megan Leigh Lyons, PSYD
• Raymond Mack, PT
• Maureen A Mahlik Puls, RD
• Courtney Lee Martin, MS
• Colleen Marx, N.P.
• Pamela J Masci, LCSW
• Virginia Matthews, RD
• Thomas R McCann, DO

• Pharmacist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.