Susan M Malloy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S10532 Issued in AZ

Practice address

522 W Finnie Flats Rd
Suite a
Camp Verde, AZ 86322-7265

Phone

(928) 567-2274

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972638781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S SHORTHORN DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W FINNIE FLATS RD",
            "address_2": "SUITE A",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227265",
            "telephone_number": "928-567-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S10532",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "13795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Kinney, DMD
• Jerilyn Klingenberg, A.T.R.
• Anjaneyulu Kosaraju, MD
• Jack I. Lipton, D.M.D.
• M. E. Emshwiller DMD P.C.
• Kadeen Mansor, PT
• Marcy Sedona Services, Inc
• Jane Mathews, M.A. ED.
• Robin Matteo, FNP-BC
• Megan Messick, RN

• Pharmacist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.