Active NPI
Mallory Demonch
- Pharmacist
- Carrboro, NC
National Provider Identifier
1629527403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26223
- Practice address
- 602 Jones Ferry Rd
Carrboro, NC 27510-2165 - Phone
- (919) 942-0933
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- 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 | 26223 | NC | Primary |
Addresses
Primary practice location
602 Jones Ferry Rd
Carrboro, NC 27510-2165
Mailing address
70 Forest Oaks Dr
Durham, NC 27705-6100
Phone (252) 571-8348
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 |
|---|---|---|---|
| 26223 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1629527403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 FOREST OAKS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277056100",
"telephone_number": "252-571-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 JONES FERRY RD",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102165",
"telephone_number": "919-942-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMONCH",
"first_name": "MALLORY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.