Active NPI
Amin Mansaray
- Pharmacist
- Saint Marys, OH
National Provider Identifier
1407233463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03325453
- Practice address
- 1502 Executive Dr
Saint Marys, OH 45885-3317 - Phone
- (419) 394-3542
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03325453 | OH | Primary |
Addresses
Primary practice location
1502 Executive Dr
Saint Marys, OH 45885-3317
Mailing address
1502 Executive Drive
St. Marys, OH 45885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03325453 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rite Aid Pharmacy 01198
- Community/Retail Pharmacy
- Saint Marys, OH
- NPI 1790894020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1407233463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 EXECUTIVE DRIVE",
"city": "ST. MARYS",
"state": "OH",
"postal_code": "45885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 EXECUTIVE DR",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458853317",
"telephone_number": "419-394-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSARAY",
"first_name": "AMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03325453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, OH
- Lifestyle Health Care Center
- Nicole A Link, NP-C
- Eugene R Little Jr., D.P.M.
- LMH Heart Institute of Northwest Ohio, LLC
- Alicia Marie Luck, RDLD
- Sarah Martin
- Alexander Clayton Mast, DO
- McCloy Optical, LLC (St. Marys Family Optometry / Oakwood Family Optometry)
- Dawn P McNaughton, MD
- Lori Meier, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.