Active NPI
Manisa Tanprayoon, PHARM.D.
- Pharmacotherapy Pharmacist
- Astoria, NY
National Provider Identifier
1336532837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 057823
- Practice address
- 2510 30TH Ave
Astoria, NY 11102 - Phone
- (718) 906-6276
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02990500 | NJ | |
| Pharmacotherapy Pharmacist | 1835P1200X | 057823 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Astoria, NY 11102
Mailing address
4850 38TH St
Apt. 7D
Long Island City, NY 11101-1948
Other practice location 1
8268 164th St
Jamaica, NY 11432-1121
Phone (718) 883-3851
Other practice location 2
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5025
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02990500 | NJ | MD | Pharmacist |
| 057823 | NY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1336532837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 38TH ST",
"address_2": "APT. 7D",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-906-6276"
}
],
"practiceLocations": [
{
"address_1": "8268 164th St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114321121",
"country_code": "US",
"telephone_number": "718-883-3851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Central Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071021909",
"country_code": "US",
"telephone_number": "973-877-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANPRAYOON",
"first_name": "MANISA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02990500",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "057823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.