MS. DIANE LARUE MANGUS (NPI# 1992982268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992982268 |
| Entity Type | Individual |
| Full Name | MS. DIANE LARUE MANGUS |
| Practice Address |
125 S Transit Lockport NY 14094 |
| Practice Telephone | 7164332678 |
| Practice Fax Number | 7164333701 |
| Mailing Telephone | 7164332678 |
| Mailing Fax Number | 7164333701 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 025941 | NY | Pharmacy Service Providers |
| Street Address |
125 S TRANSIT |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| 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 |
|---|---|---|---|---|
| 1841898723 | Ruth Ngwu | Pharmacist | 560 S Transit St, Lockport, NY 14094-5952 | 2020-10-13 |
| 1508312166 | Dale Airola | Pharmacist | 17033 Burton Ave, Lockport, IL 60441-4607 | 2016-09-01 |
| 1114327376 | Jaclyn Martis | Pharmacist | 1420 Lawrence Ave, Lockport, IL 60441-4202 | 2014-08-25 |
| 1780098376 | Katherine Ann Olson | Pharmacist | 459 S Transit St, Lockport, NY 14094-5506 | 2014-06-11 |
| 1912229543 | Lisa Balko | Pharmacist | 3987 Lockport Olcott Rd, Lockport, NY 14094-1132 | 2010-02-24 |
| 1366774077 | Cynthia Jo Mann | Pharmacist | 84 Woodbury Dr, Lockport, NY 14094-5935 | 2010-02-04 |
| 1104003243 | Karen Anne Certo | Pharmacist | 7134 Rochester Rd, Lockport, NY 14094-1626 | 2008-01-30 |
| 1376726471 | Kelly Lynn Hannigan | Pharmacist | 6616 Lincoln Ave, Lockport, NY 14094-6109 | 2007-12-11 |
| 1174705651 | Michael C Yoon | Pharmacist | 459 S Transit Rd, Lockport, NY 14094-5506 | 2007-11-27 |
| 1841471695 | Glenn F Richards | Pharmacist | 130 Washburn St, Lockport, NY 14094-3815 | 2007-11-21 |
| Find all providers in LOCKPORT | ||||
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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.