KRISTIN DAWN MANGENO (NPI# 1023619814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023619814 |
| Entity Type | Individual |
| Full Name | KRISTIN DAWN MANGENO |
| Practice Address |
5740 Union Mill Rd Clifton VA 20124-1088 |
| Practice Telephone | 7038180589 |
| Mailing Telephone | 7038180589 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202011837 | VA | Pharmacy Service Providers |
| Street Address |
5740 UNION MILL RD |
| City | CLIFTON |
| State | VA |
| Zip Code | 20124-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285667527 | Giant of Maryland LLC | Pharmacy | 5740 Union Mill Rd, Clifton, VA 20124-1088 | 2006-07-09 |
| 1902407539 | Michele Renee Galindo | Pharmacist | 5740 Union Mill Rd, Clifton, VA 20124-1088 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205350527 | Mary Berkley | Physical Therapy Assistant | 6706 Rock Fall Ct, Clifton, VA 20124 | 2017-07-28 |
| 1083155485 | Joseph Nicholas Martinez | Specialist/Technologist | 6590 Rockland Drive, Clifton, VA 20124 | 2017-03-17 |
| 1386075943 | Rowena Olifernes | Occupational Therapist | 13405 Trey Lane, Clifton, VA 20124 | 2013-12-09 |
| 1023318318 | Harold R Kober | Pharmacist | 6103 Union Village Dr., Clifton, VA 20124 | 2010-11-02 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1164970828 | Morgan Cripe | Specialist/Technologist | 5670 Lonesome Dove Ct, Clifton, VA 20124-0925 | 2016-09-12 |
| 1700497245 | Leena Khan | Student in an Organized Health Care Education/Training Program | 5330 Sandy Point Ln, Clifton, VA 20124-0942 | 2020-08-10 |
| 1639506066 | Footprints Behavior Services LLC | Behavioral Analyst | 5878 Orchard Hill Ct, Clifton, VA 20124-1064 | 2013-09-30 |
| 1295123461 | Kim Kuykendall | Physical Therapy Assistant | 13512 Little Brook Dr, Clifton, VA 20124-1083 | 2014-12-22 |
| 1891905253 | Edwin Ross Adair IIi | Optometrist | 5718 Union Mill Rd, Clifton, VA 20124-1088 | 2007-05-23 |
| Find all providers in zip 20124 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362644 | Ronak A Patel | Pharmacist | 44 Rabkin Dr, Clifton, NJ 07013-4114 | 2020-09-30 |
| 1720626336 | Chelsie Guinn | Pharmacist | 900 Fm 3200, Clifton, TX 76634 | 2019-12-13 |
| 1639647159 | Michelle Martha Budz | Pharmacist | 26 Mayfair Pl, Clifton, NJ 07013-1360 | 2018-11-02 |
| 1164933024 | Silvia Siposova | Pharmacist | 138 Speer Ave, Clifton, NJ 07013-2927 | 2017-10-18 |
| 1942661939 | Joanna M Headley | Pharmacist | 24 Day St, Apt. V11, Clifton, NJ 07011-2556 | 2016-03-17 |
| 1316305998 | Nancy B Moughon | Pharmacist | 13610 S Springs Dr, Clifton, VA 20124-2442 | 2016-02-10 |
| 1740656750 | Tejal Patel | Pharmacist | 41 Richland Ct, Apt A, Clifton, NJ 07012-7314 | 2015-08-12 |
| 1881004844 | Soltan Cangoz | Pharmacist | 765 Clifton Ave, Clifton, NJ 07013 | 2014-04-30 |
| 1689912065 | Elizabeth Derka | Pharmacist | 1 Hall St, Clifton, NJ 07014-1806 | 2013-01-20 |
| 1821333089 | Mariana Eldabh | Pharmacist | 98 Seger Ave, Clifton, NJ 07011-1926 | 2012-11-29 |
| Find all providers in CLIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.