Individual provider Active NPI

James Robert Manfred, RPH

  • Pharmacist
  • Franklin, TN
National Provider Identifier
1336164854
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000019781 Issued in TN
Practice address
205 Millersprings CT
Franklin, TN 37064-5434
Phone
(615) 468-6571
Fax
(615) 468-1900
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26013834A IN
Pharmacist 183500000X 0000019781 TN Primary
Pharmacist 183500000X 03-1-26039 OH
Pharmacist 183500000X 013079 KY
Pharmacist 183500000X 17188 CO

Addresses

Primary practice location

205 Millersprings CT
Franklin, TN 37064-5434

Mailing address

424 Huntington Ridge Dr
Nashville, TN 37211-5992
Phone (615) 468-6571

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
17188COMDPharmacist
26013834AINMDPharmacist
013079KYMDPharmacist
0000019781TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1336164854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HUNTINGTON RIDGE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115992",
            "telephone_number": "615-468-6571",
            "fax_number": "615-468-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MILLERSPRINGS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434",
            "telephone_number": "615-468-6571",
            "fax_number": "615-468-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFRED",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013834A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000019781",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-26039",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013079",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "17188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.