Active NPI
Mallory Marie Karmo, PHARMD
- Pharmacist
- Lansing, MI
National Provider Identifier
1942913702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414729
- Practice address
- 409 N Marketplace Blvd
Lansing, MI 48917-7732 - Phone
- (517) 622-1451
- NPI assigned
- Dec 26, 2022
- 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 | 5302414729 | MI | Primary |
Addresses
Primary practice location
409 N Marketplace Blvd
Lansing, MI 48917-7732
Mailing address
4972 W Pond Cir
West Bloomfield, MI 48323-2278
Phone (248) 444-6389
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414729 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1942913702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 W POND CIR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232278",
"telephone_number": "248-444-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N MARKETPLACE BLVD",
"city": "LANSING",
"state": "MI",
"postal_code": "489177732",
"telephone_number": "517-622-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARMO",
"first_name": "MALLORY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.