Gloria E Machalk

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHRE006836 Issued in GA

Legal business name

GLORIA E MACHALK

Doing business as

Louisville Drug Co

Practice address

122 E Broad St
Louisville, GA 30434-1620

Phone

(478) 625-7575

Fax

(478) 625-7575

NPI assigned

Aug 17, 2005

Last updated

Dec 21, 2011By 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

Gloria Elaine MachalkNPI 1679588438

Title

Pharmacist

Phone

(478) 625-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Louisville Drug Co Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gloria E Machalk

  dba Louisville Drug Co

  • Durable Medical Equipment & Medical Supplies
  • Louisville, GA
  • NPI 1093911000

  O20100930050111

  Same enrollment

Locations

Practitioners 1

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.

• Gloria E. Machalk, RPH

  • Pharmacy
  • Louisville, GA
  • NPI 1679588438
  NPD Authorized official

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1831181767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E BROAD ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341620",
            "telephone_number": "478-625-7575",
            "fax_number": "478-625-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E BROAD ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341620",
            "telephone_number": "478-625-7575",
            "fax_number": "478-625-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA E MACHALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "MACHALK",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "478-625-7575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE006836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000357607B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel George Franklin, M.D
• Antwonia Gibbons
• Roberta Gibbons
• Gina R Durant
• Gloria E Machalk (Louisville Drug Co)
• Tonya M. Gunby, D.M.D.
• John Chadwick Hammond, APC
• Julie Hayes, RPH
• Suzanne J. Higgins, CRNA
• Hospital Authority of Jefferson County and the City of Louisville (Physicians' Health Group)

• Durable Medical Equipment & Medical Supplies in Louisville, GA
• Providers in Louisville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.