MANCHESTER PHARMACY & MEDICAL (NPI# 1104291707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104291707 |
| Entity Type | Organization |
| Organization Name | MANCHESTER PHARMACY & MEDICAL |
| Other Organization Name | MANCHESTER PHARMACY AND MEDICAL SUPPLIES |
| Practice Address |
4310 N George Street Ext Manchester PA 17345-1307 |
| Practice Telephone | 7179785142 |
| Practice Fax Number | 7179785126 |
| Mailing Telephone | 7179785142 |
| Mailing Fax Number | 7179785126 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | PRAMOD ARIKERI (PHARMACIST MANAGER) |
| Authorized Official Telephone | 7179785142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP482601 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155639 | 01 | |
| PA | 103073390 | 05 |
| Other Name | Type Code |
|---|---|
| Manchester Pharmacy and Medical Supplies | Doing Business As Name - Organization |
| Street Address |
4310 N GEORGE STREET EXT |
| City | MANCHESTER |
| State | PA |
| Zip Code | 17345-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144085 | Alock Malik | Pharmacist | 4310 N George Street Ext, Manchester, PA 17345-1307 | 2018-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798426 | Mainline Urgent Care Medical Group | Clinic/Center | 4050 North George Street Ext, Manchester, PA 17345 | 2017-02-09 |
| 1710395751 | Nicole Curtis | Hearing Instrument Specialist | 4316 N George S Suit 8, Manchester, PA 17345 | 2014-07-22 |
| 1629077474 | Manchester Ambulance Club | Ambulance | 10 Devco Drive, Manchester, PA 17345 | 2005-07-14 |
| 1891922506 | Danielle Nicole Campbell | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345 | 2009-06-19 |
| 1295793123 | Thomas G Roth | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2006-05-02 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1790304392 | Michelle Benton | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-14 |
| 1558980755 | Corissa Borrell | Occupational Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-09 |
| 1568091734 | Rachael Miller | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-08 |
| 1326677493 | Heather Barr | Speech-Language Pathologist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| Find all providers in zip 17345 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728452 | Genoa Healthcare, LLC | Pharmacy | 2 Wall St Ste 102, Manchester, NH 03101-1518 | 2018-02-01 |
| 1861581498 | Big Y Foods Inc | Pharmacy | 234 Tolland Tpke, Manchester, CT 06040-1744 | 2006-10-12 |
| 1477668259 | Perlmart of Manchester Township Inc | Pharmacy | 1001 Route 70, Manchester, NJ 08759 | 2006-08-20 |
| 1346353976 | Kens Pharmacy Inc. | Pharmacy | 36 Elm St, Manchester, NH 03101-2724 | 2006-08-17 |
| 1578578175 | Westown Pharmacy Inc | Pharmacy | 455 Hartford Rd, Manchester, CT 06040-5729 | 2006-07-30 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1164450128 | Freds Stores of Tennessee Inc | Pharmacy | 1105 Warm Springs Hwy, Manchester, GA 31816-1167 | 2006-06-29 |
| 1275537730 | Manchester Pharmacy Inc | Pharmacy | 3321 Main St, Unit A1, Manchester, MD 21102-1790 | 2005-06-11 |
| 1487128450 | Grace Community Health Center Inc | Pharmacy | 85 Highway 80, Manchester, KY 40962-8801 | 2019-01-14 |
| 1093205346 | Southland Pharmacy LLC | Pharmacy | 482 Interstate Dr Ste K, Manchester, TN 37355 | 2018-05-12 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 17345 |
Please comment or provide details below to improve the information on MANCHESTER PHARMACY & MEDICAL.
| 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.