Jessica Mangro

Primary specialty

PharmacistTaxonomy code 183500000X

License

053253-1 Issued in NY

Practice address

77 7TH Ave
New York, NY 10011-6645

Phone

(212) 243-2446

NPI assigned

Mar 4, 2010

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1427371517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116645",
            "telephone_number": "212-243-2446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Grand St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024702",
            "country_code": "US",
            "telephone_number": "212-529-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGRO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip John Mango
• Sarah Jane Mango, NP
• Victoria Lee Mango, M.D.
• Mariel Chloe Mangold, LCSW
• Michael Theodore Mangold, MD, MPH, MS
• Nikeeta Jivrajbhai Mangukiya, PT
• Van Derick Abela Mangulabnan, M.D.
• Manhata Medical Services PC (FMRI-TMS Clinic)
• Manhattan Activecare Physical Therapy PLLC
• Manhattan Acupuncture Wellness PC

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

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

Verify at the official NPI Registry.