Individual provider Active NPI

Mamakiri Maponya

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1497087092
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049062 Issued in NY
Practice address
239 W 238TH St
Bronx, NY 10463-2455
Phone
(347) 252-6043
Fax
(347) 326-8320
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049062 NY Primary

Addresses

Primary practice location

239 W 238TH St
Bronx, NY 10463-2455

Mailing address

201 Willett Ave Apt 103
Port Chester, NY 10573-4280
Phone (914) 640-0454

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

LicenseStateTypeSpecialty
049062NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexmed Pharmacy LLC. PastSince Oct 25, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1497087092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLETT AVE APT 103",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734280",
            "telephone_number": "914-640-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 238TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632455",
            "telephone_number": "347-252-6043",
            "fax_number": "347-326-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPONYA",
        "first_name": "MAMAKIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.