Active NPI
Mallory Ignacio
- Pharmacist
- San Carlos, CA
National Provider Identifier
1679054076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64253
- Practice address
- 420 Industrial Rd
San Carlos, CA 94070-6286 - Phone
- (650) 412-4555
- NPI assigned
- Aug 23, 2018
- 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 | 64253 | CA | Primary |
Addresses
Primary practice location
420 Industrial Rd
San Carlos, CA 94070-6286
Mailing address
420 Industrial Rd
San Carlos, CA 94070-6286
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alphascript Inc | Current | Accepting new patients | |
| Alphascript Inc | Current | Accepting new patients | |
| Medical Plaza Pharmacy Inc | Current | Accepting new patients |
Locations
211 Quarry Rd
Ste 108
Palo Alto, CA 94304
Phone (650) 326-2300
420 Industrial Rd
San Carlos, CA 94070
Phone (650) 412-4530
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Carlos, CA
- NPI 1437448834
-
- Community/Retail Pharmacy
- San Carlos, CA
- NPI 1952066854
-
- Community/Retail Pharmacy
- Palo Alto, CA
- NPI 1972615086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1679054076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 INDUSTRIAL RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 INDUSTRIAL RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706286",
"telephone_number": "650-412-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.