Active NPI
Kelly Marie Maloney, PHARMD
- Pharmacist
- Cross Plains, WI
National Provider Identifier
1972886976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15230-40
- Practice address
- 2575 Main St
Cross Plains, WI 53528-9691 - Phone
- (608) 798-4003
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- 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 | 15230-40 | WI | Primary |
Addresses
Primary practice location
2575 Main St
Cross Plains, WI 53528-9691
Mailing address
2575 Main St
Cross Plains, WI 53528-9691
Phone (608) 798-4003
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 |
|---|---|---|---|
| 15230-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1972886976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 MAIN ST",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535289691",
"telephone_number": "608-798-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 MAIN ST",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535289691",
"telephone_number": "608-798-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15230-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Plains, WI
- Thomas Leo Kelley
- Lisa Kostecki, RPH
- Paul W Kranner, MD
- Amy Cathleen Kuker, PHARMD
- Paul Micah Liechty, D.C.
- Shawn Patrick McCue, D.D.S.
- Mjliechty Health Services (Cross Plains Family Chiropractic)
- Brittany Ann Nesbit, RN
- Nissenbaum and Schleusner Pro Physical Therapy LLC
- David Michael Nissenbaum, MPT MA LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.