Madeline Maria Manessis-Kaloudis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

045707 Issued in NY

Practice address

507 Main St
Main St Apothecary & Surgical
New Rochelle, NY 10801-6305

Phone

(914) 576-0100

Fax

(914) 576-7391

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madeline Maria Manessis Former name

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.

• Main Street Apothecary & Surgical Supplies Inc

  • Community/Retail Pharmacy
  • New Rochelle, NY
  • NPI 1750393153
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1043487689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016305",
            "telephone_number": "914-576-0100",
            "fax_number": "914-576-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "address_2": "MAIN ST APOTHECARY & SURGICAL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016305",
            "telephone_number": "914-576-0100",
            "fax_number": "914-576-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESSIS-KALOUDIS",
        "first_name": "MADELINE",
        "middle_name": "MARIA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "MANESSIS",
            "middle_name": "MARIA",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl R Malina, MD
• Romelle J Maloney, MD
• Tara Maloney, LMHC
• Katayun Kayomarz Mama
• Lisa Golda Mandelker, D.O.
• Anthony Mango
• Jonathan Alfred Manley, LMSW
• Aviva Mann, EI
• Dana J Manna Paul
• Karina Manzano, OTR/L, CHT

• Pharmacist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.