Wanda Ivelisse Malave

Primary specialty

PharmacistTaxonomy code 183500000X

License

03230733 Issued in OH

Practice address

1444 W 5TH Ave
Grandview Heights, OH 43212-2400

Phone

(614) 486-3308

Fax

(614) 486-3656

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

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

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
  • Grandview Heights, OH
  • NPI 1457591513
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1639445737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 BARONSCOURT WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166091",
            "telephone_number": "614-389-2873",
            "fax_number": "614-389-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W 5TH AVE",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432122400",
            "telephone_number": "614-486-3308",
            "fax_number": "614-486-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "WANDA",
        "middle_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Horava, DO
• Lindsey Jones Knapke, M.D.
• Leena Laforte, PHARM.D.
• Legacy Ohio
• Nickoles Long
• Jessica Miller, MD
• Ryan Nethers
• Ohrh, LLC
• Ohrh, LLC
• Joel-Robert Orzal

• Pharmacist in Grandview Heights, OH
• Providers in Grandview Heights, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.