Active NPI
Ezzat Mankarious, RPH
- Pharmacist
- Arvada, CO
National Provider Identifier
1154984185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15510
- Practice address
- 7370 W 52ND Ave
Arvada, CO 80002-3708 - Phone
- (303) 420-7770
- NPI assigned
- Apr 16, 2019
- Last updated
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 15510 | CO | Primary |
Addresses
Primary practice location
7370 W 52ND Ave
Arvada, CO 80002-3708
Mailing address
17925 W 77TH Dr
Arvada, CO 80007-7970
Phone (303) 522-7902
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15510 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1154984185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17925 W 77TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077970",
"telephone_number": "303-522-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 W 52ND AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023708",
"telephone_number": "303-420-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKARIOUS",
"first_name": "EZZAT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.