Doctor profile · Federal record
Dr. Johanna Mallare, MD
Pediatrics Physician · West Memphis, AR
- NPI 1821055278
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
108 W Tyler Ave
West Memphis, AR 723014221
(870) 732-1191
fax (870) 732-4091
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- October 8, 2020
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Arkansas #E2442
- Medicaid
- AR #142052001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821055278. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$63
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultragenyx Pharmaceutical INC. | 2 | $45.67 | |
| Pfizer INC. | 1 | $17.82 |
By nature of payment
Frequently asked questions
What is Dr. Johanna Mallare's medical specialty?
Dr. Johanna Mallare practices Pediatrics Physician in West Memphis, AR.
Where does Dr. Johanna Mallare practice?
Dr. Johanna Mallare practices at 108 W Tyler Ave, West Memphis, AR 723014221. Office phone: 8707321191.
What is Dr. Johanna Mallare's NPI?
Dr. Johanna Mallare's National Provider Identifier (NPI) is 1821055278, issued by NPPES.