Active NPI
Brian Maniga, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Casa Grande, AZ
National Provider Identifier
1073168803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S024576
- Practice address
- 865 N Arizola Rd
Casa Grande, AZ 85122-6011 - Phone
- (520) 836-3446
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0022788 | CO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S024576 | AZ | Primary |
Addresses
Primary practice location
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Mailing address
5319 N 132ND Ave
Litchfield Park, AZ 85340-8341
Other practice location 1
1700 Wheeling St
Aurora, CO 80045-7211
Phone (720) 723-6658
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 |
|---|---|---|---|
| PHA.0022788 | CO | MD | Pharmacist |
| S024576 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1073168803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 N 132ND AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853408341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N ARIZOLA RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226011",
"telephone_number": "520-836-3446"
}
],
"practiceLocations": [
{
"address_1": "1700 Wheeling St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457211",
"country_code": "US",
"telephone_number": "720-723-6658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANIGA",
"first_name": "BRIAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0022788",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S024576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.