CHRIS MALLIA (NPI# 1164021473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164021473 |
| Entity Type | Individual |
| Full Name | CHRIS MALLIA |
| Practice Address |
20168 Eva St Montgomery TX 77356-2006 |
| Practice Telephone | 9364497167 |
| Practice Fax Number | 9364497169 |
| Mailing Telephone | 9364497167 |
| Mailing Fax Number | 9364497169 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| 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 |
55613 | TX | Pharmacy Service Providers |
| Street Address |
20168 EVA ST |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861565178 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 20168 Eva St, Montgomery, TX 77356-2006 | 2006-11-16 |
| 1245839943 | Alta Berry | Pharmacist | 20168 Eva St, Montgomery, TX 77356-2006 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| 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 |
|---|---|---|---|---|
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1306445374 | Liza Pirofsky Kreutzer | Pharmacist | 545 Cotton Gin Rd, Montgomery, AL 36117-3552 | 2020-10-21 |
| 1144828674 | Logan Douglas Durst | Pharmacist | 9939 Montgomery Rd, Montgomery, OH 45242-5311 | 2020-10-16 |
| 1548881378 | Deidra Easley | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-04 |
| 1265051635 | Shayne Kreutzer | Pharmacist | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2020-04-15 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1528612942 | Michelle Adams | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2019-07-25 |
| 1114371952 | Ashley Trammell | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2016-04-18 |
| 1568716207 | Central Alabama Pain Management Center, P.C. | Pharmacist | 1709 Forest Ave, Montgomery, AL 36106-1543 | 2012-11-02 |
| 1326313628 | Cassie Moss Boyd | Pharmacist | 101 S Union St, Montgomery, AL 36130-3022 | 2012-03-20 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
Please comment or provide details below to improve the information on CHRIS MALLIA.
| 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.