NPIMap

Organization Active NPI

Manchester Pharmacy & Medical

  • Pharmacy
  • Manchester, PA
National Provider Identifier
1104291707
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482601 Issued in PA
Legal business name
MANCHESTER PHARMACY & MEDICAL
Practice address
4310 N George Street Ext
Manchester, PA 17345-1307
Phone
(717) 978-5142
Fax
(717) 978-5126
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Pramod Arikeri
Title
Pharmacist Manager
Phone
(717) 978-5142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482601 PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4310 N George Street Ext
Manchester, PA 17345-1307

Mailing address

4310 N George Street Ext
Manchester, PA 17345-1307
Phone (717) 978-5142

Other identifiers 2

IdentifierTypeStateIssuer
2155639OtherPK
103073390MedicaidPA

Other names 1

  • Manchester Pharmacy and Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

4310 N George Street Ext
Manchester, PA 17345
Phone (717) 978-5142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1104291707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 N GEORGE STREET EXT",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451307",
            "telephone_number": "717-978-5142",
            "fax_number": "717-978-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 N GEORGE STREET EXT",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451307",
            "telephone_number": "717-978-5142",
            "fax_number": "717-978-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ARIKERI",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "717-978-5142"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482601",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155639",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103073390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Pharmacy and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.