Active NPI
Hunter Glenn Manning
- Pharmacist
- Pensacola, FL
National Provider Identifier
1164175402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67710
- Practice address
- 1525 E Nine Mile Rd
Pensacola, FL 32514-5725 - Phone
- (850) 462-6528
- Fax
- (850) 462-6529
- NPI assigned
- Jan 27, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI42545 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | S13459 | AL | |
| Pharmacist | 183500000X | 67710 | FL | Primary |
Addresses
Primary practice location
1525 E Nine Mile Rd
Pensacola, FL 32514-5725
Mailing address
1525 E Nine Mile Rd
Pensacola, FL 32514-5725
Phone (850) 462-6528
Other practice location 1
2316 Walker Bldg
Auburn University, AL 36849-5725
Phone (334) 844-8938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67710 | FL | MD | Pharmacist |
| S13459 | AL | MD | Student in an Organized Health Care Education/Training Program |
| PSI42545 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | 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.
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726963200000",
"number": "1164175402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145725",
"telephone_number": "850-462-6528",
"fax_number": "850-462-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145725",
"telephone_number": "850-462-6528",
"fax_number": "850-462-6529"
}
],
"practiceLocations": [
{
"address_1": "2316 Walker Bldg",
"address_purpose": "LOCATION",
"city": "Auburn University",
"state": "AL",
"postal_code": "368495725",
"country_code": "US",
"telephone_number": "334-844-8938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNING",
"first_name": "HUNTER",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-27",
"last_updated": "2024-09-22",
"certification_date": "2024-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI42545",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S13459",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "67710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.