Individual provider Active NPI

Rodora Hayag Manalansan, RPH

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1336124353
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13596 Issued in MD
Practice address
1711 Doolittle Ave
Fort Worth, TX 76127-1133
Phone
(817) 782-5960
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13596 MD Primary

Addresses

Primary practice location

1711 Doolittle Ave
Fort Worth, TX 76127-1133

Mailing address

4126 Peachwood Dr
Arlington, TX 76016-4234
Phone (240) 416-6453

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
13596MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336124353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 PEACHWOOD DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164234",
            "telephone_number": "240-416-6453",
            "fax_number": "301-702-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DOOLITTLE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761271133",
            "telephone_number": "817-782-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANSAN",
        "first_name": "RODORA",
        "middle_name": "HAYAG",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.