Fredrick Nzai Manasseh, PHARM.D, MBA,BCGP

Primary specialty

PharmacistTaxonomy code 183500000X

License

2007019773 Issued in MO

Practice address

1 Concourse Pkwy Ste 700
Atlanta, GA 30328-6128

Phone

(316) 841-5444

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1225631260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PEACHTREE ST NW UNIT 2713",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083554",
            "telephone_number": "316-841-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONCOURSE PKWY STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286128",
            "telephone_number": "316-841-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W 133rd St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451631",
            "country_code": "US",
            "telephone_number": "816-942-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANASSEH",
        "first_name": "FREDRICK",
        "middle_name": "NZAI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, MBA,BCGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55015",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007019773",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03232571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Managed Care Outsource, Inc
• Iviensan Fernandez Manalo, M.D.
• Jeffrey Manaloto, M.D.
• Martha Manar, M.D.
• Mary Elizabeth Manasra, LPC
• Miriam Manasseh
• Avery Nicole Manbeck, MS, LAT, ATC, OTC
• Caroline M Ceniza Mancao, NP-C
• Ramneek Manchanda, DO
• Geetha Manchireddy, MD

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.