Active NPI
McKenzie Malek
- Pharmacist
- Plantation, FL
National Provider Identifier
1821692005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48077
- Practice address
- 7155 W Broward Blvd
Plantation, FL 33317-2215 - Phone
- (954) 792-2800
- NPI assigned
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PS48077 | FL | Primary |
Addresses
Primary practice location
7155 W Broward Blvd
Plantation, FL 33317-2215
Mailing address
7155 W Broward Blvd
Plantation, FL 33317-2215
Phone (954) 792-2800
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 |
|---|---|---|---|
| PS48077 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1821692005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172215",
"telephone_number": "954-792-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172215",
"telephone_number": "954-792-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "MCKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.