Active NPI
Mariann George David
- Pharmacist
- New York, NY
National Provider Identifier
1003436098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065147
- Practice address
- 20 W 36TH St
New York, NY 10018-8005 - Phone
- (212) 675-3900
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 065147 | NY | Primary |
Addresses
Primary practice location
20 W 36TH St
New York, NY 10018-8005
Mailing address
115 South Dr
Manhasset Hills, NY 11040-2232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065147 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capsule Corporation | Current | Accepting new patients |
Locations
20 W 36th St
New York, NY 10018
Phone (212) 675-3900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1003436098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SOUTH DR",
"city": "MANHASSET HILLS",
"state": "NY",
"postal_code": "110402232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 36TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100188005",
"telephone_number": "212-675-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "MARIANN",
"middle_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"address_1": "20 W 36th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100188005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.