Charles Mantey, RPH
Individual provider Active NPI Pharmacotherapy Pharmacist · Port Austin, MI
NPI 1427265404 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1427265404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 5302023331 (MI)
- Practice address
- 8827 Liberty St.
Port Austin, MI 48467 - Phone
- (989) 269-9024
- Fax
- (989) 453-4465
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023331 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302023331 | MI | |
| Pharmacotherapy Pharmacist | 1835P1200X | 5302023331 | MI | Yes |
Addresses
Primary practice location
8827 Liberty St.
Port Austin, MI 48467
Mailing address
8827 Liberty St.
Port Austin, MI 48467
Phone (989) 269-9024
Other providers in Port Austin, MI
- DRC Cloud Care PLLC
- Heather McDermott PSYD PLLC
- Abigail Kasper-Ahearn
- Martha E Koglin
- Lakeview Professional Counseling, PLLC.
- McLaren Thumb Region
- Marcella Mosey
- Noble Physical Therapy & Wellness PLLC
- Caitlin Nora Noble
- Rick'S Amt LLC
All providers in Port Austin, MI · Pharmacotherapy Pharmacist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.