Molly Ann Mancheski

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.024907 Issued in LA

Practice address

4200 Houma Blvd Ste 150
Metairie, LA 70006-2970

Phone

(504) 206-3695

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Metairie, LA
  • NPI 1982164703
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1316629793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 JEFFERSON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD STE 150",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-206-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESKI",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.024907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalini Gilotra Mallik, M.D.
• Christina Malone
• Jennifer Malone, MSW LCSW
• Kristen Malone
• Allisyn Marie Malsbury
• Amanda Analiesse Mancilla
• Ronald Albert Mancuso Jr., D.D.S.
• Garrett Mandel, DPT
• Cristobal Mandry, MD
• Kevin Dee Mangum I, ATC LAT

• All providers in Metairie, LA
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.