Christoforos Manessis

Primary specialty

PharmacistTaxonomy code 183500000X

License

59358 Issued in NY

Practice address

82 W Main St
Smithtown, NY 11787-2634

Phone

(631) 724-3727

NPI assigned

Jul 18, 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

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.

• CVS Albany LLC

  • Pharmacy
  • Smithtown, NY
  • NPI 1225131055
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1609250653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872634",
            "telephone_number": "631-724-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872634",
            "telephone_number": "631-724-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESSIS",
        "first_name": "CHRISTOFOROS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "59358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Ryan Malhas, MD
• Abhay Malhotra, M.D.
• Maureen Ann Malone, ANP-C
• Caitlin Anne Mancuso, MS, CCC-SLP
• Nya Mercedes Manesis, MA
• Janice C Mangino
• Enrico S Mango, MD
• Manhattan Medical Practice PC
• Charles T Mann, M.D.
• Heather Lee Mannkopf

• Pharmacist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.