Active NPI
Mallory Breeden, PHARMD
- Emergency Medicine Pharmacist
- Snellville, GA
National Provider Identifier
1699612283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Pharmacist
- License
- 27256
- Practice address
- 1700 Medical Way
Snellville, GA 30078-2195 - Phone
- (770) 979-0200
- NPI assigned
- May 1, 2026
- 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 |
|---|---|---|---|---|
| Emergency Medicine Pharmacist | 1835E0208X | 27256 | GA | Primary |
Addresses
Primary practice location
1700 Medical Way
Snellville, GA 30078-2195
Mailing address
1700 Medical Way
Snellville, GA 30078-2195
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27256 | GA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1699612283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MEDICAL WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MEDICAL WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782195",
"telephone_number": "770-979-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDEN",
"first_name": "MALLORY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835E0208X",
"taxonomy_group": "",
"desc": "Pharmacist, Emergency Medicine",
"state": "GA",
"license": "27256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.