MS. MIA L MANCUSO


Address: 141 Washington Avenue Ext, Albany, NY 12205-5612
Phone: 5188694697

MS. MIA L MANCUSO (NPI# 1801077227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801077227
Entity Type Individual
Full Name MS. MIA L MANCUSO
Credential PHARMD
Practice Address 141 Washington Avenue Ext
Albany
NY 12205-5612
Practice Telephone 5188694697
Enumeration Date 2007-11-14
Last Update Date 2008-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051758-1 NY Pharmacy Service Providers

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NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 141 WASHINGTON AVENUE EXT
City ALBANY
State NY
Zip Code 12205-5612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053338285 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 141 Washington Avenue Ext, Albany, NY 12205-5609 2006-07-16
1649674649 Thomas Connolly Hearing Instrument Specialist 141 Washington Avenue Ext, Albany, NY 12205-5609 2014-10-20
1619209202 Sam Enbawe Pharmacist 141 Washington Avenue Ext, Albany, NY 12205-5612 2010-02-05
1487817052 Hearing Health LLC Hearing Aid Equipment 141 Washington Avenue Ext, Albany, NY 12205-5609 2008-07-03
1558475418 Wal-mart Stores East, Lp Technician/Technologist 141 Washington Avenue Ext, Albany, NY 12205-5612 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564053 Capital Regional Rx LLC Pharmacy 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 2020-10-07
1548722549 The Alternative Living Group, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 500 New Karner Road, Suite 3, Albany, NY 12205 2019-04-01
1003398439 Sarah Itwaru Social Worker 401 New Karner Road, Albany, NY 12205 2018-09-01
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1437691839 Sarah Avery Physical Therapist 5 S Family Dr, Colonie, NY 12205 2016-11-16
1063892776 Olsen Medical Sales, LLC Durable Medical Equipment & Medical Supplies 98 Everett Rd, Albany, NY 12205 2015-06-08
1972921484 Alixandra Joy Foisy Social Worker 42 Oakwood Dr, Albany, NY 12205 2014-04-01
1780015206 The Promptcare Companies Durable Medical Equipment & Medical Supplies 1015c Central Avenue, Albany, NY 12205 2013-12-09
1396088332 Early Childhood Education Center Day Training, Developmentally Disabled Services 251 Washington Ave Extension, Albany, NY 12205 2013-03-28
1487906707 Centerfordisabiltyservices Preferred Provider Organization 5 Keller Street, Albany, NY 12205 2012-10-10
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942023 Kevin Thach Le Pharmacist 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 2020-11-08
1649889726 Christopher John Moorvartian Pharmacist 881 Meadow Ct Ne, Albany, OR 97322-3501 2020-07-24
1639792930 Cadesia Gail Irvin Pharmacist 304 Virginia Ave, Albany, GA 31705-4548 2020-05-20
1326669300 Thuha T Nguyen Pharmacist 2414 Sylvester Hwy, Albany, GA 31705-2469 2020-05-01
1205462462 Laura Dunn-mahar Pharmacist 153 Central Ave Ste 1, Albany, NY 12206-2941 2020-03-19
1275178576 Ccpb Pharmacist 903 N Cross St, Albany, KY 42602-1617 2019-11-10
1801430624 Robert Joseph Esponge IIi Pharmacist 29148 S Montpelier Rd, Albany, LA 70711-4320 2019-11-05
1275038721 Nicholas Bowen Pharmacist 728 Madison Ave # B1, Albany, NY 12208-3302 2018-03-27
1275045965 Kyung Oh Pharmacist 713 Spokane Ave, Albany, CA 94706-1710 2017-11-02
1346759669 Stephanie Tchen Pharmacist 315 S. Manning Blvd, Albany, NY 12208 2017-09-29
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Competitor

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City ALBANY
Zip Code 12205

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Dataset Information

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.

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