Active NPI
Mary Irene Maloy
- Pharmacist
- Atlanta, GA
National Provider Identifier
1558951608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32424
- Practice address
- 439 Highland Ave NE
Atlanta, GA 30312-1321 - Phone
- (404) 230-9385
- NPI assigned
- Jan 22, 2021
- Last updated
- Jan 22, 2021
- 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 | 32424 | GA | Primary |
Addresses
Primary practice location
439 Highland Ave NE
Atlanta, GA 30312-1321
Mailing address
815 Thornberry Dr
Alpharetta, GA 30022-4874
Phone (678) 427-0217
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 |
|---|---|---|---|
| 32424 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1558951608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 THORNBERRY DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224874",
"telephone_number": "678-427-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 HIGHLAND AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121321",
"telephone_number": "404-230-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOY",
"first_name": "MARY",
"middle_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "32424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.