O'Neal T Malcolm, PHARM.D.,RPH,CIP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441596 Issued in PA

Practice address

5301 Chew Ave
Philadelphia, PA 19138-2803

Phone

(215) 438-4695

NPI assigned

Aug 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 03461

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1790875722
  NPD (past)

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1881842060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191382803",
            "telephone_number": "215-438-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191382803",
            "telephone_number": "215-438-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "O'NEAL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,RPH,CIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-30",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Scot Malay, DPM
• Srikrishna Varun Malayala, MD
• Saninuj Malayaman, M.D.
• Kimberly A Malayter, LCSW
• Nicholas Michael Malchione
• Shanika Malcolm
• Threshia Malcolm, M.D.
• Emily Y Malcoun, PHD
• Jennifer Maldarelli
• Maria Esther Maldonado Weng, MS, LPC, CBIS

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.