Individual provider Active NPI

Mary Ellen Manuszewski, RPH.

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1144660457
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038750 Issued in NY
Practice address
975 Broadway St
Buffalo, NY 14212-1317
Phone
(716) 895-8811
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038750 NY Primary

Addresses

Primary practice location

975 Broadway St
Buffalo, NY 14212-1317

Mailing address

116 Pleasant TRL
Grand Island, NY 14072-3200
Phone (716) 208-9851

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

State licenses

LicenseStateTypeSpecialty
038750NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1144660457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PLEASANT TRL",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723200",
            "telephone_number": "716-208-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121317",
            "telephone_number": "716-895-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUSZEWSKI",
        "first_name": "MARY ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.