Malleys Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003055 Issued in WA

Legal business name

MALLEYS INC

Practice address

1906 George Washington Way
Richland, WA 99354

Phone

(509) 943-9173

Fax

(509) 946-1122

NPI assigned

Oct 18, 2006

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teresa Knirck

Title

Owner

Phone

(509) 943-9173

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L Cerrillo, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Richland, WA
  • NPI 1104182088
  NPD (past)
• Cammi Johnson

  • Pharmacist
  • Richland, WA
  • NPI 1891105433
  NPD (past)
• Andrea Shannon Whiston, PHARMD

  • Pharmacist
  • Richland, WA
  • NPI 1316459985
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1750462636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99354",
            "telephone_number": "509-943-9173",
            "fax_number": "509-946-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99354",
            "telephone_number": "509-943-9173",
            "fax_number": "509-946-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLEYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "KNIRCK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-943-9173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LH",
            "identifier": "158229",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6010029",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4900494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell G Maier, M.D.
• Paul Francis Maiocco, PA-C
• Anthony Makhoul, PA-C
• Gretchen Lee Makinson, OTR/L
• Asif U Malik, MD
• Kathleen Ann Malloy, L.M.T.
• Loren Malone, MD
• Olivia Mancinelli
• Glenn Manigque
• Nicholas Manke, PA-C

• Community/Retail Pharmacy in Richland, WA
• Providers in Richland, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.