OrganizationActive
Malakoff Prescription Shop, Inc
NPI 1154374197 · Community/Retail Pharmacy · Malakoff, TX
Malakoff Prescription Shop, Inc is a Community/Retail Pharmacy organization in Malakoff, TX (NPI 1154374197).
Provider details
- NPI number
- 1154374197
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lisa Anderson Kocian, Vice-President(903) 489-1909
- License
- 03464 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
409 W Royall Blvd
Malakoff, TX 75148-9499
Phone: (903) 489-1909
Fax: (903) 489-0246
Street-level locationGet directions
Mailing address
600 S Palestine St
Athens, TX 75751-3323
Other names (DBA / former)
- Other name
- Malakoff Pharmacy
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Malakoff Prescription Shop, Inc's NPI number?
- Malakoff Prescription Shop, Inc's National Provider Identifier (NPI) is 1154374197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Malakoff Prescription Shop, Inc?
- Malakoff Prescription Shop, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Malakoff Prescription Shop, Inc located?
- Malakoff Prescription Shop, Inc's practice location on file with NPPES is 409 W Royall Blvd, Malakoff, TX 75148-9499.
- What is Malakoff Prescription Shop, Inc's phone number?
- The practice phone number listed in the NPPES registry for Malakoff Prescription Shop, Inc is (903) 489-1909.
- Who is the authorized official for Malakoff Prescription Shop, Inc?
- The authorized official listed on Malakoff Prescription Shop, Inc's NPPES record is Lisa Anderson Kocian, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Malakoff Prescription Shop, Inc's NPI active?
- Yes — Malakoff Prescription Shop, Inc's NPI (1154374197) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.