DENNIS MALTO (NPI# 1093349219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093349219 |
| Entity Type | Individual |
| Full Name | DENNIS MALTO |
| Practice Address |
4628 Presidential Pkwy Macon GA 31206-8708 |
| Practice Telephone | 4784053915 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10792 | GA | Pharmacy Service Providers |
| Street Address |
4628 PRESIDENTIAL PKWY |
| City | MACON |
| State | GA |
| Zip Code | 31206-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356375166 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2006-07-10 |
| 1326647116 | Angela Travis Joslin | Pharmacist | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2020-10-22 |
| 1659748341 | Patricia Kelly Tillery | Pharmacist | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647116 | Angela Travis Joslin | Pharmacist | 4628 Presidential Pkwy, Macon, GA 31206-8708 | 2020-10-22 |
| 1205434008 | Darla Daniel Moughon | Pharmacist | 220 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2020-10-14 |
| 1376168435 | Marsha Kapiloff | Pharmacist | 220 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2020-06-14 |
| 1336764828 | Sally Brown | Pharmacist | 3576 Pio Nono Ave, Macon, GA 31206-3036 | 2020-06-10 |
| 1629697651 | Jamie Hopkins Adair | Pharmacist | 5928 Zebulon Rd, Macon, GA 31210-2097 | 2020-04-09 |
| 1922634963 | Annette S Rowland | Pharmacist | 660 North Ave, Macon, GA 31211-1494 | 2020-03-22 |
| 1871127886 | Michael Bower | Pharmacist | 660 North Ave, Macon, GA 31211-1494 | 2020-02-28 |
| 1215560123 | Jennifer Anne Mcculley | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-19 |
| 1699306134 | Patrenice Thomas | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-03 |
| 1962033308 | Donald Allen Cooper | Pharmacist | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2020-02-03 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on DENNIS MALTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.