Active NPI
Kevin Malloy, PHARMD
- Ambulatory Care Pharmacist
- Cleveland, OH
National Provider Identifier
1700548070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 03441218
- Practice address
- 10685 Carnegie Ave # X20
Cleveland, OH 44106-3018 - Phone
- (216) 444-3672
- Fax
- (216) 444-3282
- NPI assigned
- Oct 13, 2021
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 03441218 | OH | Primary |
Addresses
Primary practice location
10685 Carnegie Ave # X20
Cleveland, OH 44106-3018
Mailing address
10685 Carnegie Ave # X20
Cleveland, OH 44106-3018
Other practice location 1
8701 Darrow Rd
Twinsburg, OH 44087-2105
Phone (330) 888-4000
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 |
|---|---|---|---|
| 03441218 | OH | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1700548070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10685 CARNEGIE AVE # X20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10685 CARNEGIE AVE # X20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063018",
"telephone_number": "216-444-3672",
"fax_number": "216-444-3282"
}
],
"practiceLocations": [
{
"address_1": "8701 Darrow Rd",
"address_purpose": "LOCATION",
"city": "Twinsburg",
"state": "OH",
"postal_code": "440872105",
"country_code": "US",
"telephone_number": "330-888-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLOY",
"first_name": "KEVIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03441218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.