NPIMap

Organization Active NPI

Manninos Family Practice Pharmacy Inc

Doing business as Mannino's Pharmacy LTC

  • Long Term Care Pharmacy
  • Hammond, LA
National Provider Identifier
1013648674
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MANNINOS FAMILY PRACTICE PHARMACY INC
Doing business as
Mannino's Pharmacy LTC
Practice address
113 W Charles St
Hammond, LA 70401-3232
Phone
(985) 542-8466
Fax
(985) 542-2561
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Richard ManninoNPI 1134456114
Title
Pharmacist-in-Charge, Owner
Phone
(985) 542-8466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

113 W Charles St
Hammond, LA 70401-3232

Mailing address

PO Box 1442
Hammond, LA 70404-1442
Phone (985) 542-8466

Other identifiers 1

IdentifierTypeStateIssuer
1254771MedicaidLA

Other names 1

  • Mannino's Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory

Locations

113 W Charles St
Hammond, LA 70401
Phone (985) 542-8466

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1013648674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041442",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHARLES ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013232",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNINOS FAMILY PRACTICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE, OWNER",
        "authorized_official_telephone_number": "985-542-8466"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254771",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannino's Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.