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Mallex Corporation

Community/Retail Pharmacy in Jerseyville, IL · enumerated 2012 · authorized official Ethan Vandersand, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023363025

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Registry record

Entity type Organization (Type 2)
Legal business name Mallex Corporation
Other name <Unavail>
Practice address 400a W Carpenter St, Jerseyville, IL, 62052
Phone (618) 498-6461
Fax (618) 639-9450
Enumeration date Jul 17, 2012
Last updated in NPPES Jul 5, 2016

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 054.018000 (IL) Primary

Authorized official

Name Ethan Vandersand
Title President
Phone (618) 498-6461

Other identifiers

Identifier Type State Issuer
2137095 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mallex Corporation?
Mallex Corporation is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-05.