Individual provider Active NPI

Coleen Lizette Malveaux, RPH

  • Pharmacist
  • Pearland, TX
National Provider Identifier
1639408339
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31621 Issued in TX
Practice address
2710 Sunnycreek LN
Pearland, TX 77584-2793
Phone
(832) 607-1517
Fax
(713) 436-7319
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31621 TX Primary

Addresses

Primary practice location

2710 Sunnycreek LN
Pearland, TX 77584-2793

Mailing address

2710 Sunnycreek LN
Pearland, TX 77584-2793
Phone (832) 607-1517

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
31621TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1639408339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SUNNYCREEK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842793",
            "telephone_number": "832-607-1517",
            "fax_number": "713-436-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SUNNYCREEK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842793",
            "telephone_number": "832-607-1517",
            "fax_number": "713-436-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEAUX",
        "first_name": "COLEEN",
        "middle_name": "LIZETTE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.