Manes Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR15009 Issued in AR

Legal business name

MANES PHARMACY, INC

Practice address

2215 Alma Hwy
Van Buren, AR 72956-5009

Phone

(479) 474-5028

Fax

(479) 474-4792

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Mark Alan Manes, P.D.

Title

Manager

Phone

(479) 474-5028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Super Sav Drug #3 Doing business as

Locations

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164563136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565009",
            "telephone_number": "479-474-5028",
            "fax_number": "479-474-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565009",
            "telephone_number": "479-474-5028",
            "fax_number": "479-474-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANES PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-474-5028",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR15009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0415009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Sav Drug #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lumina Revenue Cycle Management LLC
• Angila Lee Luper, LPN
• Yesenia Macias
• Main Street Operating LLC
• Sara Mainer, LMSW
• Lisa M Manes-Mankins, M.S., CCC-SLP
• Raelene A Mapes, DO
• Amity Sparks Marcial, DPT
• Sarah Mardanlou, MD
• Natalie Marine

• Community/Retail Pharmacy in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.