Individual provider Active NPI

Steven J Mantel, R.PH.

  • Pharmacist
  • Bryan, OH
National Provider Identifier
1326065806
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03309589 Issued in OH
Practice address
324 Dublin LN
Bryan, OH 43506-9135
Phone
(419) 636-3493
Fax
(419) 636-8001
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03309589 OH Primary

Addresses

Primary practice location

324 Dublin LN
Bryan, OH 43506-9135

Mailing address

324 Dublin LN
Bryan, OH 43506-9135
Phone (419) 636-3493

Other identifiers 1

IdentifierTypeStateIssuer
03309589OtherOHREGISTERED PHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03309589OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326065806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DUBLIN LN",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435069135",
            "telephone_number": "419-636-3493",
            "fax_number": "419-636-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DUBLIN LN",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435069135",
            "telephone_number": "419-636-3493",
            "fax_number": "419-636-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEL",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03309589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "03309589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.