Nicholas Michael Manos

Primary specialty

PharmacistTaxonomy code 183500000X

License

17627 Issued in MA

Practice address

252 Forest St
Peabody, MA 01960-3919

Phone

(978) 535-0514

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1295326106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 FOREST ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603919",
            "telephone_number": "978-984-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 FOREST ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603919",
            "telephone_number": "978-535-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "17627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17627",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabody",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Forest St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019603919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabody",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Forest St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019603919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabody",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Forest St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019603919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabody",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Forest St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019603919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabody",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Forest St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019603919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Joseph Mancinelli, D.C.
• Carolyn Natalie Mancini, FNP
• Catherine Mandeville, MSW
• Dimitra A Manesis, M.D.
• Patrick Procopio Yanong Mangan, DDS
• Leigh Ann Mansberger, MD
• Marsha Marcelin
• Jose Marchena, DMD,MD
• Jacquelyn Kathleen Marchetti
• Margaret a. Robinson (Margaret A Robinson DO)

• Pharmacist in Peabody, MA
• Providers in Peabody, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.