Individual provider Active NPI

Benny V Mangalath, BPHARM

  • Pharmacist
  • Islip, NY
National Provider Identifier
1013231281
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0441941 Issued in NY
Practice address
437 Main St
Islip, NY 11751-3536
Phone
(631) 581-8077
Fax
(631) 581-7975
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0441941 NY Primary

Addresses

Primary practice location

437 Main St
Islip, NY 11751-3536

Mailing address

437 Main St
Islip, NY 11751-3536
Phone (631) 581-8077

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

LicenseStateTypeSpecialty
0441941NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Benly Pharmacy Inc Current Accepting new patients
San Remo Pharmacy Inc Current Accepting new patients
Innovia RX Inc. Current Accepting new patients
JT Medical Services, Inc. Past Accepting new patients

Locations

437 Main St
Islip, NY 11751
Phone (631) 581-8077

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1013231281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513536",
            "telephone_number": "631-581-8077",
            "fax_number": "631-581-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513536",
            "telephone_number": "631-581-8077",
            "fax_number": "631-581-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGALATH",
        "first_name": "BENNY",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0441941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.