Mallory Bentley Still, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

032929 Issued in GA

Practice address

279 N Broad St Ste B
Winder, GA 30680-2589

Phone

(770) 867-9072

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Farmer'S Homecare Pharmacy

  • Long Term Care Pharmacy
  • Winder, GA
  • NPI 1407806540
  NPD (past)
• Farmer'S Prescription Shop

  • Pharmacist
  • Winder, GA
  • NPI 1821048935
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1952087702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 N BROAD ST STE B",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802589",
            "telephone_number": "770-867-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N BROAD ST STE B",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802589",
            "telephone_number": "770-867-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 N Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802589",
            "country_code": "US",
            "telephone_number": "770-867-9081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILL",
        "first_name": "MALLORY",
        "middle_name": "BENTLEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "032929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Step by Step Therapy LLC
• Bryan Stephens
• Luke Stephenson
• Brittany Stewart
• Kia'Ra Stewart
• Jasson Sutton
• Stephaine Tabb
• Altaf Husain Tadkod, M.D., M.P.H.
• Brendalyne Facia Tamba, FNP
• Poppy M Tansey, NP

• Pharmacist in Winder, GA
• Providers in Winder, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.