Mallory Gay
Individual provider Active NPI Pharmacist · Chipley, FL
NPI 1831785989 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1831785989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS45554 (FL)
- Practice address
- 1037 Main St
Chipley, FL 32428-1930 - Phone
- (850) 638-7896
- Fax
- (850) 638-7224
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS45554 | FL | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RX04480@cvshealth.com | Health Information Exchange (HIE) |
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.