Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649517699 Individual Practitioner Male Practitioner

Michael Stephen Mallouk , BS PHARMACY

Pharmacist • Fort Myers, FL

Professional Overview & Biography Verified Profile Summary

Michael Mallouk, BS PHARMACY is a registered healthcare professional specializing in Pharmacist in Fort Myers, FL. Practice services are available at 11600 GLADIOLUS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11600 Gladiolus Dr

Fort Myers, FL 339084567

Telephone 2394373681
Fax 2394376133
Associated Practice Facility / Clinic
🏢 Publix Super Markets Inc Facility NPI 1639110133

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
314 Specialists

Practicing in Fort Myers, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS17142

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013254879
Lisa Lu

Pharmacist

NPI 1245711993
NPI 1518204114
David Adkins

Pharmacist

NPI 1598143661

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2013

Registered at 11600 GLADIOLUS DR, FORT MYERS, FL 339084567 (Tel: 2394373681)

📍
Updated Business Mailing Address January 10, 2013

Registered at 11600 GLADIOLUS DR, FORT MYERS, FL 339084567 (Tel: 2394373681)

👤
Provider Name / Credentials Updated January 10, 2013

Recorded as MICHAEL MALLOUK, BS PHARMACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Pharmacist (License #PS17142 in FL)

🟢
Initial NPI Registration & Enumeration January 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649517699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2013
Last Update: January 10, 2013
Sole Proprietor: No

Mailing Address

11600 Gladiolus Dr

Fort Myers, FL 339084567

Phone: 2394373681

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.