Manjunath Prakash Pai, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

051-287468 Issued in IL

Practice address

106 New Scotland Ave
Obrien RM 204, Acphs
Albany, NY 12208-3425

Phone

(518) 694-7146

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1043444334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NEW SCOTLAND AVE",
            "address_2": "OBRIEN RM 204, ACPHS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083425",
            "telephone_number": "518-694-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NEW SCOTLAND AVE",
            "address_2": "OBRIEN RM 204, ACPHS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083425",
            "telephone_number": "518-694-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "MANJUNATH",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051-287468",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NM",
            "license": "6431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Page-Wilner
• Inez L Pagnotta, MD
• Kelly Irwin Pagnotti, FNP
• Karen Pahl, OT
• Amy Pai, PHARM.D.
• John Alexander Paige III, M.D.
• Terry Paige
• Donald Lincoln Paine, LICSW, LCSW
• Andrea Marie Pais, RD, CNSC
• David S Palat, MD

• Pharmacotherapy Pharmacist in Albany, NY
• Providers in Albany, NY by specialty
• Pharmacotherapy Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.