Active NPI
Manuel A. Santos, RPH,MBA
- Pharmacist
- Leland, NC
National Provider Identifier
1225415607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22344
- Practice address
- 2013 Olde Regent Way
Ste 150, PMB 275
Leland, NC 28451 - Phone
- (617) 835-1624
- NPI assigned
- May 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22344 | NC | Primary |
| Pharmacist | 183500000X | 16635 | MA |
Addresses
Primary practice location
2013 Olde Regent Way
Ste 150, PMB 275
Leland, NC 28451
Mailing address
3003 Fayetteville Rd
Walgreens
Lumberton, NC 28358
Phone (910) 739-7072
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16635 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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
- Lumberton, NC
- NPI 1558376632
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1225415607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 FAYETTEVILLE RD",
"address_2": "WALGREENS",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-739-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 OLDE REGENT WAY",
"address_2": "STE 150, PMB 275",
"city": "LELAND",
"state": "NC",
"postal_code": "28451",
"telephone_number": "617-835-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MANUEL",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "RPH,MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22344",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "16635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.