Active NPI
Daniel Mathew Mancha II, PHARMD, RPH
- Pharmacist
- El Paso, TX
National Provider Identifier
1144953217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68432
- Practice address
- 8825 N Loop Dr Ste 107
El Paso, TX 79907-4607 - Phone
- (915) 444-8124
- NPI assigned
- Jul 6, 2022
- Last updated
- Jul 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68432 | TX | Primary |
Addresses
Primary practice location
8825 N Loop Dr Ste 107
El Paso, TX 79907-4607
Mailing address
11253 Thundercloud Dr
El Paso, TX 79936-1227
Phone (915) 503-7344
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68432 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Loop Ventures Inc | Current | Accepting new patients |
Locations
8825 N Loop Dr
Ste 107
El Paso, TX 79907
Phone (915) 444-8124
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Loop Pharmacy
- Community/Retail Pharmacy
- El Paso, TX
- NPI 1558949727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1144953217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11253 THUNDERCLOUD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799361227",
"telephone_number": "915-503-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 N LOOP DR STE 107",
"city": "EL PASO",
"state": "TX",
"postal_code": "799074607",
"telephone_number": "915-444-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHA",
"first_name": "DANIEL",
"middle_name": "MATHEW",
"name_suffix": "II",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.