Active NPI
Mallory Gay
- Pharmacist
- Chipley, FL
National Provider Identifier
1831785989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45554
- Practice address
- 1037 Main St
Chipley, FL 32428-1930 - Phone
- (850) 638-7896
- Fax
- (850) 638-7224
- NPI assigned
- Dec 14, 2020
- Last updated
- Dec 14, 2020
- Sex
- Female
- 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 | PS45554 | FL | Primary |
Addresses
Primary practice location
1037 Main St
Chipley, FL 32428-1930
Mailing address
1037 Main St
Chipley, FL 32428-1930
Phone (850) 638-7896
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RX04480@cvshealth.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PS45554 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- rx04480@cvshealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1831785989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324281930",
"telephone_number": "850-638-7896",
"fax_number": "850-638-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324281930",
"telephone_number": "850-638-7896",
"fax_number": "850-638-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45554",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RX04480@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Pharmacy Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1037 Main St",
"city": "Chipley",
"state": "FL",
"country_code": "US",
"postal_code": "324281930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.