Malli, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY56112 Issued in CA

Legal business name

MALLI, INC.

Practice address

501 E Olive Ave
Turlock, CA 95380

Phone

(209) 250-1786

Fax

(209) 250-2815

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Lakshmi Sriharsha Bingi

Title

Ceo

Phone

(978) 918-1064

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tower Pharmacy Doing business as

Tax ID family

Malli Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tower Pharmacy

  • Long Term Care Pharmacy
  • Turlock, CA
  • NPI 1851925895
  NPD tax ID

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1952446478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804012",
            "telephone_number": "209-250-1786",
            "fax_number": "209-250-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "209-250-1786",
            "fax_number": "209-250-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "SRIHARSHA BINGI",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-918-1064"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA470000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5615096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anand Parkash Magoon, D.O.
• Pratik A Makadia, DDS
• Victor Julian Maldonado
• Dina Malek-Moreno, LCSW
• Sargon Malek, D.C.
• Alan Mallory, PT, DPT
• Laura Mallory
• Raminder P Mand, M.D.
• Mark Ryan Mangiapane, D.O.
• Tanya Marie Mangum, L.C.S.W.

• Community/Retail Pharmacy in Turlock, CA
• Providers in Turlock, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.