NPIMap

Individual provider Active NPI

Leighia Willis Mandanas, R.PH.

  • Pharmacist
  • New York, NY
National Provider Identifier
1063681328
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048291 Issued in NY
Practice address
320 5TH Ave
New York, NY 10001-3102
Phone
(212) 279-2856
Fax
(212) 279-1358
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048291 NY Primary

Addresses

Primary practice location

320 5TH Ave
New York, NY 10001-3102

Mailing address

320 5TH Ave
New York, NY 10001-3102
Phone (212) 279-2856

Other names 1

  • Leighia Willis Other name

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past Accepting new patients
CVS Albany LLC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1063681328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013102",
            "telephone_number": "212-279-2856",
            "fax_number": "212-279-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013102",
            "telephone_number": "212-279-2856",
            "fax_number": "212-279-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDANAS",
        "first_name": "LEIGHIA",
        "middle_name": "WILLIS",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGHIA",
            "last_name": "WILLIS",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.