Cristina Mancuso

Primary specialty

PharmacistTaxonomy code 183500000X

License

059252 Issued in NY

Practice address

496 County Road 111 BLDG C
Manorville, NY 11949-3385

Phone

(631) 399-0324

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

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

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
  • Manorville, NY
  • NPI 1609156074
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Southampton, NY
  • NPI 1851494686
  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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1619564499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLCREST LN",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119613003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 COUNTY ROAD 111 BLDG C",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493385",
            "telephone_number": "631-399-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119684810",
            "country_code": "US",
            "telephone_number": "631-283-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Long, ATC
• Niesje Liberte Lowne, RN
• Travis James Mackey
• Taylor Rae Madlinger, PA
• Jasmin Maghsoudlou, FNP
• Tamiryn Mannix
• Manorville Community Ambulance Inc
• Carol Markland, LPN
• Donna Lynn Markovic, RN
• Marie Danie Marseille, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.