Active NPI
Joseph V Manganelli, PHARM.D.
- Pharmacist
- Yonkers, NY
National Provider Identifier
1063615482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035486-1
- Practice address
- 200 Corporate Blvd S
Cmo
Yonkers, NY 10701-6806 - Phone
- (914) 377-4716
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035486-1 | NY | Primary |
Addresses
Primary practice location
200 Corporate Blvd S
Cmo
Yonkers, NY 10701-6806
Mailing address
13 Arlington Drive
Harriman, NY 10926
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035486-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063615482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ARLINGTON DRIVE",
"city": "HARRIMAN",
"state": "NY",
"postal_code": "10926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD S",
"address_2": "CMO",
"city": "YONKERS",
"state": "NY",
"postal_code": "107016806",
"telephone_number": "914-377-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANELLI",
"first_name": "JOSEPH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035486-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.