Individual provider Active NPI

William G Manghisi, RPH

  • Pharmacist
  • Whippany, NJ
National Provider Identifier
1629300082
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RI20899 Issued in NJ
Practice address
121 Algonquin Pkwy
Whippany, NJ 07981-1601
Phone
(973) 503-1500
Fax
(800) 242-6714
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RI20899 NJ Primary

Addresses

Primary practice location

121 Algonquin Pkwy
Whippany, NJ 07981-1601

Mailing address

128 Rutgers PL
Nutley, NJ 07110-1833
Phone (973) 503-1500

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

LicenseStateTypeSpecialty
RI20899NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnicare of New York, LLC Past 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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1629300082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 RUTGERS PL",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101833",
            "telephone_number": "973-503-1500",
            "fax_number": "800-242-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ALGONQUIN PKWY",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811601",
            "telephone_number": "973-503-1500",
            "fax_number": "800-242-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGHISI",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI20899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.