Timothy Eric Malmo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

114670 Issued in MN

Practice address

1399 S Frontage Rd
Hastings, MN 55033-2427

Phone

(651) 437-9608

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679610554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15579 CHERRY PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550682586",
            "telephone_number": "651-322-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332427",
            "telephone_number": "651-437-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMO",
        "first_name": "TIMOTHY",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina R. Lund, P.T.
• Wesley Allen Lund, M.A.
• Joanne K Luu
• Michael Charles Luxem, PHD
• Janet C Lynn, AU.D. AUDIOLOGIST
• Sarah Anne Teresinski Markert, M.D.
• Julie Ann Marquardt, PT
• Mary Vang Her Counseling and Consultation Services, LLC
• Hayley Maxwell, MA, LADC
• Chelsea Marie Mayer, ATC

• Pharmacist in Hastings, MN
• Providers in Hastings, MN by specialty
• Pharmacist in Minnesota

• 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.

Verify at the official NPI Registry.