Ermano Mario Manzo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03215480 Issued in OH

Practice address

1205 E Central Ave
Miamisburg, OH 45342-3544

Phone

(937) 866-6651

Fax

(937) 866-6650

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1033712047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E CENTRAL AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423544",
            "telephone_number": "937-866-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E CENTRAL AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423544",
            "telephone_number": "937-866-6651",
            "fax_number": "937-866-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "ERMANO",
        "middle_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03215480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03215480",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pharmacy date",
            "address_1": "1205 E Central Ave",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Syeda Malika, D.D.S.
• Manpreet Kaur Mann, PHARM.D.
• Janna M Manning, LISW
• Ophelia V Manqubat, MD
• Hasan Y Mansoor, FNP
• Robert Gerald Marcioni, P. T.
• Kimberly Ann Marcyoniak, LISW
• Mark F Shoreman MD
• Scott Richard Martin, O.D.
• Chelsea Ann Martinez

• Pharmacist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Pharmacist in Ohio

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

Verify at the official NPI Registry.