Active NPI
Scott Stanley Malinowski, PHARM.D.
- Pharmacist
- Jackson, MS
National Provider Identifier
1750402855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-08453
- Practice address
- 350 W Woodrow Wilson Ave
Cardiology - Heart Failure Disease Management Clinic
Jackson, MS 39213-7681 - Phone
- (601) 815-1420
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-08453 | MS | Primary |
Addresses
Primary practice location
350 W Woodrow Wilson Ave
Cardiology - Heart Failure Disease Management Clinic
Jackson, MS 39213-7681
Mailing address
2500 N State St
Department of Pharmacy
Jackson, MS 39216-4500
Phone (601) 984-2055
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 |
|---|---|---|---|
| T-08453 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750402855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-2055",
"fax_number": "601-984-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE",
"address_2": "CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137681",
"telephone_number": "601-815-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINOWSKI",
"first_name": "SCOTT",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-08453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- 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.