Active NPI
Donna Bull Malone, RPH
- Pharmacist
- New Tazewell, TN
National Provider Identifier
1649308594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5151
- Practice address
- 915 Main St
New Tazewell, TN 37825-6651 - Phone
- (423) 626-9780
- Fax
- (423) 626-5341
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- 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 | 5151 | TN | Primary |
Addresses
Primary practice location
915 Main St
New Tazewell, TN 37825-6651
Mailing address
PO Box 430
Tazewell, TN 37879-0430
Phone (423) 626-9780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649308594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378790430",
"telephone_number": "423-626-9780",
"fax_number": "423-626-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MAIN ST",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378256651",
"telephone_number": "423-626-9780",
"fax_number": "423-626-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DONNA",
"middle_name": "BULL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.