Active NPI
Telvin Mannat, RPH
- Pharmacist
- Wilmington, DE
National Provider Identifier
1598368680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0015596
- Practice address
- 1050 Brandywine Pkwy
Wilmington, DE 19803-1492 - Phone
- (302) 478-3200
- NPI assigned
- Nov 19, 2020
- Last updated
- Aug 24, 2022
- Sex
- Male
- 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 | A1-0015596 | DE | Primary |
Addresses
Primary practice location
1050 Brandywine Pkwy
Wilmington, DE 19803-1492
Mailing address
1050 Brandywine Pkwy
Wilmington, DE 19803-1492
Phone (302) 478-3200
Other practice location 1
1601 Naamans Rd
Wilmington, DE 19810-3020
Phone (302) 246-1933
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0015596 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1601 Naamans Rd
Wilmington, DE 19810
Phone (302) 246-1933
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1598368680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 BRANDYWINE PKWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031492",
"telephone_number": "302-478-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BRANDYWINE PKWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031492",
"telephone_number": "302-478-3200"
}
],
"practiceLocations": [
{
"address_1": "1601 Naamans Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198103020",
"country_code": "US",
"telephone_number": "302-246-1933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNAT",
"first_name": "TELVIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0015596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Soumya Manikonda, DO
- Nicholas Manini
- Nainika Venugopal Manjunath, MD
- Sara Mann, MD/MPH
- Shari Mann, PSY.D.
- Stephanie Manning
- Dana R Mannino, APN
- Manor Care of Wilmington de LLC (ProMedica Skilled Nursing and Rehabilitation (Wilmington))
- Manor Care-Pike Creek of Wilmington de LLC (ProMedica Skilled Nursing and Rehabilitation (Pike Creek))
- Daniel Jason Mans, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.