Mallory Whitfield

Primary specialty

PharmacistTaxonomy code 183500000X

License

31760 Issued in NC

Practice address

3801 S Memorial Dr
Winterville, NC 28590-8618

Phone

(252) 917-6865

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Winterville, NC
  • NPI 1467851881
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1962128173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S MEMORIAL DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S MEMORIAL DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908618",
            "telephone_number": "252-917-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CONNEXUS",
            "affiliation": "Y",
            "affiliationName": "Wal-Mart Stores East LP",
            "address_1": "3801 S Memorial Dr",
            "city": "Winterville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285908618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trenesha N Ward
• Mary Wilson Waters, LPA-HSP
• Audrey Watson, PHD
• Loren Simone Watts, FNP-C
• Takara Whichard, M.S, NCC, LPC
• Kimberly Wilder
• William S. Harvey, III DDS4
• Gabrielle Alexis Williams, LRT, CTRS
• Latina Gay Williams, LCAS LCMHCS CCS
• Shaniqua Nicole Williams

• Pharmacist in Winterville, NC
• Providers in Winterville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.