Organization Active NPI

Manfy Inc

Doing business as Medicine Shoppe #1864

  • Community/Retail Pharmacy
  • Panama City, FL
National Provider Identifier
1326183898
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24235 Issued in FL
Legal business name
MANFY INC
Doing business as
Medicine Shoppe #1864
Practice address
2303 W 15TH St Ste D
Panama City, FL 32401-1500
Phone
(850) 785-0700
Fax
(850) 785-0747
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Ismail Mohamed
Title
President
Phone
(727) 457-7539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24235 FL Primary

Addresses

Primary practice location

2303 W 15TH St Ste D
Panama City, FL 32401-1500

Mailing address

2303 W 15TH St Ste D
Panama City, FL 32401-1500
Phone (850) 785-0700

Other identifiers 1

IdentifierTypeStateIssuer
1014517OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Medicine Shoppe #1864 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manfy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2303 W 15th St
#D
Panama City, FL 32401
Phone (850) 785-0700

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1326183898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W 15TH ST STE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011500",
            "telephone_number": "850-785-0700",
            "fax_number": "850-785-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W 15TH ST STE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011500",
            "telephone_number": "850-785-0700",
            "fax_number": "850-785-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANFY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-457-7539"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1014517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe #1864",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.