Joseph P Manzullo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

056259-1 Issued in NY

Practice address

402 N Main St
Elmira, NY 14901-2104

Phone

(609) 742-5563

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1629351697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WOODCREST AVE",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011632",
            "telephone_number": "609-742-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N MAIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012104",
            "telephone_number": "609-742-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZULLO",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0004198",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02634900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445628",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056259-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Mangini
• Steven A. Manierre, RPA-C
• Gary Neil Mann, MD
• Nan Mansfield, R.D.
• Kenneth Edward Mantei, RPH
• Colette Marcellus, LCSW
• Erin Marean
• Antoinette Maria, NP
• Joseph John Marino, DC
• Mark G. Schuller D.D.S.,P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.