Active NPI
Marvin T Manning, D.PH.
- Pharmacist
- Pigeon Forge, TN
National Provider Identifier
1275766115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4922
- Practice address
- 220 Wears Valley Rd
Pigeon Forge, TN 37863-4215 - Phone
- (865) 428-0629
- NPI assigned
- Aug 26, 2009
- Last updated
- Aug 26, 2009
- 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 | 4922 | TN | Primary |
| Pharmacist | 183500000X | 12183 | GA |
Addresses
Primary practice location
220 Wears Valley Rd
Pigeon Forge, TN 37863-4215
Mailing address
220 Wears Valley Rd
Pigeon Forge, TN 37863-4215
Phone (865) 428-0629
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 |
|---|---|---|---|
| 4922 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1275766115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WEARS VALLEY RD",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378634215",
"telephone_number": "865-428-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WEARS VALLEY RD",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378634215",
"telephone_number": "865-428-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "MARVIN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "4922",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "12183",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pigeon Forge, TN
- Kroger Limited Partnership I (Kroger Pharmacy)
- Wanda A. Lancaster, FNP-BC
- Lee Liguore, RD
- Travis Loveday, PT, DPT
- LP Pigeon Forge LLC (Pigeon Forge Care & Rehabilitation Center)
- Rebekah Marshall
- John D Mayberry, MA LMFT
- Medicenter & Associates PLLC
- MH Health Care Services, PC
- Yvette Elke Newcomb, CFNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.