Lawrence John Mango Sr., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

033-0002889 Issued in VT

Practice address

141 Hannaford SQ
Bennington, VT 05201-1653

Phone

(802) 442-3642

Fax

(802) 442-3065

NPI assigned

May 13, 2011

Sex

Male

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

Registered Pharmacist

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.

• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Bennington, VT
  • NPI 1700197100
  NPD (past)
• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1497047112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HANNAFORD SQ",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011653",
            "telephone_number": "802-442-3642",
            "fax_number": "802-442-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HANNAFORD SQ",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011653",
            "telephone_number": "802-442-3642",
            "fax_number": "802-442-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "LAWRENCE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I036415",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033-0002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin F Mack, M.D.
• Thomas E. Macksey, DMD
• Carolina Macquarrie, PT, ATC
• Alison Malmborg, NP
• Emily Rachel Mandel, M.S., BCBA
• Marisa Friscia MD
• Victor Martini, LICSW
• Martins Foods of South Burlington LLC
• Mary Jean Sadlak PHD PC
• Ann Virginia Mattice

• Pharmacist in Bennington, VT
• Providers in Bennington, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.