Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174864987 Individual Practitioner Male Practitioner

Dr. Kelly J Malloy , PharmD

Pharmacist • Fulton, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Malloy, PharmD is a registered healthcare professional specializing in Pharmacist in Fulton, MO. Official NPI practice address is registered at 600 COURT ST.

Practice Location & Contact Primary Location

Practice Address

600 Court St

Fulton, MO 652511903

Telephone 5736426892
Associated Practice Facility / Clinic
🏢 Missouri Cvs Pharmacy, L.l.c. Facility NPI 1104919810

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fulton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Fulton, MO (5469 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 MO 2012026455

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

5 Associated Practitioners
NPI 1376135426

Registered Pharmacist

NPI 1578152674
NPI 1629286497

Registered Pharmacist

NPI 1669790606

Registered Pharmacist

NPI 1740437854

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2013

Registered at 600 COURT ST, FULTON, MO 652511903 (Tel: 5736426892)

📍
Updated Business Mailing Address March 05, 2013

Registered at 4201 GLADDEN LN, COLUMBIA, MO 652021939 (Tel: 5738149686)

👤
Provider Name / Credentials Updated March 05, 2013

Recorded as KELLY MALLOY, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2013

Pharmacist (License #2012026455 in MO)

🟢
Initial NPI Registration & Enumeration March 05, 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: 1174864987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2013
Last Update: March 05, 2013
Sole Proprietor: Yes

Mailing Address

4201 Gladden Ln

Columbia, MO 652021939

Phone: 5738149686

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.