Martha Victoria Mambula, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH05393 Issued in RI

Practice address

2400 Warwick Ave
Warwick, RI 02889-4263

Phone

(401) 737-2305

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rhode Island CVS Pharmacy LLC

  • Pharmacy
  • North Kingstown, RI
  • NPI 1063037059
  NPD (past)
• Rhode Island CVS Pharmacy, L.L.C.

  • Pharmacy
  • Warwick, RI
  • NPI 1912004417
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1376148346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAIN ST UNIT 1210",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167887",
            "telephone_number": "774-238-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028894263",
            "telephone_number": "401-737-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMBULA",
        "first_name": "MARTHA",
        "middle_name": "VICTORIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234595",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Malik, MD
• Sterling Leaf Malish, M.D.
• Jason P Mallette, D.P.M.
• Patrick Malloy Jr., MD
• Linda Mambro, LICSW
• Erin Mancini Geer, MASTERS
• Katherine Mary Mandolfi, REGISTERED NURSE
• Alanna Maniatis
• Christopher Manion
• George James Manko, LICSW

• Pharmacist in Warwick, RI
• Providers in Warwick, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.