Active NPI
Pamela Marie Manos, PHARMD
- Pharmacist
- Suwanee, GA
National Provider Identifier
1477837664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017999
- Practice address
- 5301 Grey Stag CT
Suwanee, GA 30024-4155 - Phone
- (678) 662-5164
- Fax
- (770) 831-4697
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- 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 | 017999 | GA | Primary |
Addresses
Primary practice location
5301 Grey Stag CT
Suwanee, GA 30024-4155
Mailing address
5301 Grey Stag CT
Suwanee, GA 30024-4155
Phone (678) 662-5164
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 |
|---|---|---|---|
| 017999 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1477837664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 GREY STAG CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244155",
"telephone_number": "678-662-5164",
"fax_number": "770-831-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 GREY STAG CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244155",
"telephone_number": "678-662-5164",
"fax_number": "770-831-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOS",
"first_name": "PAMELA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.