Individual provider Active NPI

Gregory D Malloy I, R.PH.

  • Pharmacist
  • Breinigsville, PA
National Provider Identifier
1831333764
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039080L Issued in PA
Practice address
1275 Windmill LN
Breinigsville, PA 18031-1175
Phone
(610) 636-3956
Fax
(610) 481-9376
NPI assigned
Apr 22, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039080L PA Primary

Addresses

Primary practice location

1275 Windmill LN
Breinigsville, PA 18031-1175

Mailing address

1275 Windmill LN
Breinigsville, PA 18031-1175
Phone (610) 636-3956

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP039080LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1831333764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WINDMILL LN",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311175",
            "telephone_number": "610-636-3956",
            "fax_number": "610-481-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WINDMILL LN",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311175",
            "telephone_number": "610-636-3956",
            "fax_number": "610-481-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039080L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breinigsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.