SUSAN M MALLOY (NPI# 1972638781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972638781 |
| Entity Type | Individual |
| Full Name | SUSAN M MALLOY |
| Credential | PHARMD |
| Practice Address |
522 W Finnie Flats Rd Suite A Camp Verde AZ 86322-7265 |
| Mailing Address |
61 S Shorthorn Dr Camp Verde AZ 86322-7330 |
| Practice Telephone | 9285672274 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13795 | CO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | S10532 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659513 | Susan Morton Malloy | Student in an Organized Health Care Education/Training Program | 1311 N Lottie Ave, Oklahoma City, OK 73117-2051 | 2018-02-15 |
| 1457653958 | Susan Geyer Malloy | Speech-Language Pathologist | 484 Main St., Easter Seals Massachusetts, Worcester, MA 01608 | 2010-12-03 |
| 1215090493 | Susan Malloy | Physical Therapist | 102 Irving St Nw, Washington, DC 20010-2921 | 2006-12-18 |
| Street Address |
522 W FINNIE FLATS RD SUITE A |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322-7265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710903299 | Eric Pettersen | Dentist | 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 | 2006-07-15 |
| 1992037857 | Verde Dental Care, LLC | Dentist | 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 | 2010-02-03 |
| 1700047040 | Rayburn Chiropractic Clinic, P.C. | Chiropractor | 522 W Finnie Flats Rd, Suite I, Camp Verde, AZ 86322-7265 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1457768459 | Tammy Sue Oothoudt | Psychiatric Residential Treatment Facility | 1140 South Little Fox Trail, Camp Verde, AZ 86322 | 2014-07-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| Find all providers in zip 86322 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920918 | Gabriella Colon | Pharmacist | 522 W Finnie Flat Rd Ste A, Camp Verde, AZ 86322-7265 | 2020-07-27 |
| 1588065825 | Paul Brncik Jr. | Pharmacist | 2961 Vernon Ave, Camp Verde, AZ 86322-6200 | 2014-09-05 |
| 1700116811 | Robert Ernest Weston | Pharmacist | 475 W Finnie Flats Rd, Camp Verde, AZ 86322-7398 | 2010-01-12 |
| 1710346663 | Michael Costa | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2016-02-21 |
| 1932575511 | Jared Matthew Evans | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2015-08-18 |
| 1356758544 | Bernadine Bunt | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2014-07-19 |
| 1821400094 | Robert Simbric | Pharmacist | 522 W Finnie Flat Rd, Suite A, Camp Verde, AZ 86322-7265 | 2014-05-22 |
| 1487073524 | Randall Lee Wilber | Pharmacist | 522 W Finnie Flat Rd, Camp Verde, AZ 86322-7265 | 2014-04-15 |
| 1467796243 | Richard Jee | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2012-11-19 |
| 1669702635 | Douglas George Akovenko | Pharmacist | 475 W Finnie Flats Rd, Camp Verde, AZ 86322-7398 | 2010-01-13 |
| Find all providers in CAMP VERDE | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
Please comment or provide details below to improve the information on SUSAN M MALLOY.
| 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.