Active NPI
Mallory Cortis
- Pharmacist
- Frederick, MD
National Provider Identifier
1700350956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25822
- Practice address
- 236 N Market St
Frederick, MD 21701-5377 - Phone
- (301) 662-4848
- NPI assigned
- Jan 21, 2019
- 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 | 25822 | MD | Primary |
Addresses
Primary practice location
236 N Market St
Frederick, MD 21701-5377
Mailing address
239 E 6TH St
Frederick, MD 21701-5219
Phone (717) 658-4958
Other practice location 1
20 N Pine St
Baltimore, MD 21201-1142
Phone (410) 706-7650
Other practice location 2
17316 Shepherdstown Pike
Sharpsburg, MD 21782-1626
Phone (301) 432-7223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25822 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1700350956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 E 6TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015219",
"telephone_number": "717-658-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 N MARKET ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015377",
"telephone_number": "301-662-4848"
}
],
"practiceLocations": [
{
"address_1": "20 N Pine St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011142",
"country_code": "US",
"telephone_number": "410-706-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17316 Shepherdstown Pike",
"address_purpose": "LOCATION",
"city": "Sharpsburg",
"state": "MD",
"postal_code": "217821626",
"country_code": "US",
"telephone_number": "301-432-7223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTIS",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.