Individual provider Active NPI

Jouzaphin Manja, PHARMACIST

  • Pharmacist
  • Nazareth, PA
National Provider Identifier
1063236438
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443447 Issued in PA
Practice address
430 Nazareth Pike
Nazareth, PA 18064-9615
Phone
(610) 365-2300
Fax
(610) 365-8363
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443447 PA Primary

Addresses

Primary practice location

430 Nazareth Pike
Nazareth, PA 18064-9615

Mailing address

430 Nazareth Pike
Nazareth, PA 18064-9615
Phone (610) 365-2300

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
RP443447PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Rehabilitation PastSince Nov 17, 2024 Accepting new patients
George Manja LLC PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1063236438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649615",
            "telephone_number": "610-365-2300",
            "fax_number": "610-365-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649615",
            "telephone_number": "610-365-2300",
            "fax_number": "610-365-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJA",
        "first_name": "JOUZAPHIN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.