MR. MARTIN D MANICKATH (NPI# 1164759338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164759338 |
| Entity Type | Individual |
| Full Name | MR. MARTIN D MANICKATH |
| Practice Address |
2311 Lakeland Dr Dallas TX 75228-5353 |
| Practice Telephone | 2143200892 |
| Mailing Telephone | 2143200892 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 38933 | TX | Pharmacy Service Providers |
| Street Address |
2311 LAKELAND DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093042343 | Thomas Mathew | Pharmacist | 2311 Lakeland Dr, Dallas, TX 75228-5353 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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 |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
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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.