MALLORY ANNE KETCHAM PHARMD
NPI 1104437813
Pharmacist in Brandon, VT

Active since August 14, 2020
1 UNION ST, BRANDON, VT 05733(802) 247-8050(802) 247-4237 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Aug 14, 2020 (2 updates tracked since 2020).

About Mallory Anne Ketcham Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY ANNE KETCHAM PHARMD (NPI 1104437813) is an individual pharmacist in Brandon, Vermont, licensed in Vermont (033.0134411) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104437813
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMALLORY ANNE KETCHAMCredential: PHARMD
Location Address1 UNION STBrandon, VT 05733-1127
Mailing Address1 Union StBrandon, VT 05733-1127 · (802) 247-8050 · Fax (802) 247-4237
Fax(802) 247-4237
Sole ProprietorNo
Enumeration DateAugust 14, 2020
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1104437813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in VT · 033.0134411
Definition
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.
1 UNION ST, Brandon, VT 05733

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1 UNION ST
BRANDON, VT 05733
Pharmacist
1 UNION ST
BRANDON, VT 05733
Pharmacist
1 UNION ST
BRANDON, VT 05733
Pharmacy
1 UNION ST
BRANDON, VT 05733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Ketcham's NPI number?

The NPI number for Mallory Ketcham is 1104437813. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Mallory Ketcham located?

Mallory Ketcham practices at 1 Union St, Brandon, VT 05733. The listed phone number is (802) 247-8050.

What is Mallory Ketcham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mallory Ketcham was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.