Active NPI
Mary Kristine Mazmanian, RPH
- Pharmacist
- Delmar, NY
National Provider Identifier
1649583444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051100-1
- Practice address
- 43 McCombe Dr
Delmar, NY 12054-9705 - Phone
- (518) 439-3923
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051100-1 | NY | Primary |
| Pharmacist | 183500000X | 24800 | MA |
Addresses
Primary practice location
43 McCombe Dr
Delmar, NY 12054-9705
Mailing address
43 McCombe Dr
Delmar, NY 12054-9705
Phone (518) 439-3923
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 |
|---|---|---|---|
| 24800 | MA | MD | Pharmacist |
| 051100-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1649583444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 MCCOMBE DR",
"city": "DELMAR",
"state": "NY",
"postal_code": "120549705",
"telephone_number": "518-439-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 MCCOMBE DR",
"city": "DELMAR",
"state": "NY",
"postal_code": "120549705",
"telephone_number": "518-439-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZMANIAN",
"first_name": "MARY",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051100-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "24800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.