Warren Manley

Primary specialty

PharmacistTaxonomy code 183500000X

License

012597 Issued in GA

Practice address

220 W Central Ave
Fitzgerald, GA 31750-2438

Phone

(229) 423-0521

Fax

(229) 423-7147

NPI assigned

Jul 24, 2015

Sex

Male

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1528443009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 POLK LN",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317506302",
            "telephone_number": "229-831-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CENTRAL AVE",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317502438",
            "telephone_number": "229-423-0521",
            "fax_number": "229-423-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "WARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Leyse
• LF SNF LLC (Life Care Center)
• James Edwin Luckie Jr., D.O.
• Lisa Marie Luckie, FNP-C
• Robert A Ludwick, MD
• Thomas R Mann, M.D.PC
• Wayne S Maris, DDS
• Skylar Dorough Martin, FNP-BC
• Laquinta M Mason
• Taylor McDowell

• Pharmacist in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.