Active NPI
Angela Mangi
- Pharmacist
- Alton, IL
National Provider Identifier
1083997878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292001
- Practice address
- 1650 Washington Ave
Alton, IL 62002-3931 - Phone
- (618) 462-5386
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 051292001 | IL | Primary |
Addresses
Primary practice location
1650 Washington Ave
Alton, IL 62002-3931
Mailing address
170 Sandy Shore Dr
Granite City, IL 62040-6520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051292001 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1083997878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SANDY SHORE DR",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620406520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620023931",
"telephone_number": "618-462-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGI",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.