Active NPI
Michael John Malishewsky, R.PH.
- Pharmacist
- New Bern, NC
National Provider Identifier
1669606257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14010
- Practice address
- 2032 Waterscape Way
New Bern, NC 28562 - Phone
- (252) 631-5234
- Fax
- (252) 631-5233
- NPI assigned
- May 11, 2009
- Last updated
- Jun 6, 2023
- Sex
- Male
- 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 | 14010 | NC | Primary |
Addresses
Primary practice location
2032 Waterscape Way
New Bern, NC 28562
Mailing address
1204 E Main St
Havelock, NC 28532-2405
Phone (252) 444-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14010 | Other | NC | BOP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14010 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Havelock, NC
- NPI 1861714115
-
- Community/Retail Pharmacy
- Havelock, NC
- NPI 1497839393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1669606257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 E MAIN ST",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322405",
"telephone_number": "252-444-0910",
"fax_number": "252-444-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 WATERSCAPE WAY",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28562",
"telephone_number": "252-631-5234",
"fax_number": "252-631-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALISHEWSKY",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2023-06-06",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "14010",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
- Magnolia Medical Marketing Dba Magnolia Wellness
- Magnolia Place of New Bern, LLC
- John Philip Mahaney Jr., MD
- Jessica Neil Maier, M.S. CCC-SLP
- Majors Support Services, LLC
- Hailey Malsch, OTR/L
- Jennie Craig Mangun, MD
- James Joseph Manley, M.D.
- Rebecca Anne Manning, FNP
- Kathy Dodge Mansfield, LPC LCAS CCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.