Active NPI
Mallorie Stanzione
- Pharmacist
- Forest, VA
National Provider Identifier
1861089955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37855
- Practice address
- 16807 Forest Rd
Forest, VA 24551-4915 - Phone
- (434) 209-6043
- Fax
- (434) 209-6047
- NPI assigned
- Dec 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37855 | SC | Primary |
| Pharmacist | 183500000X | 0202218962 | VA |
Addresses
Primary practice location
16807 Forest Rd
Forest, VA 24551-4915
Mailing address
16807 Forest Rd
Forest, VA 24551-4915
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 |
|---|---|---|---|
| 37855 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3501 Highway 153
Greenville, SC 29611
Phone (864) 295-2029
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.
-
- Pharmacy
- Greenville, SC
- NPI 1104114388
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1861089955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16807 FOREST RD",
"city": "FOREST",
"state": "VA",
"postal_code": "245514915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16807 FOREST RD",
"city": "FOREST",
"state": "VA",
"postal_code": "245514915",
"telephone_number": "434-209-6043",
"fax_number": "434-209-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANZIONE",
"first_name": "MALLORIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2026-09-06",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37855",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.