Active NPI
Deepa Manivannan, PHARMD
- Pharmacist
- Manhasset, NY
National Provider Identifier
1164044400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062302
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 562-0100
- NPI assigned
- May 9, 2020
- Sex
- Female
- 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 | 062302 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
18 Foster LN
Westbury, NY 11590-6504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062302 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1164044400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FOSTER LN",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-562-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIVANNAN",
"first_name": "DEEPA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-09",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.