Justin M Mancini, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP458753 Issued in PA

Practice address

1991 Sproul Rd Ste 11
Broomall, PA 19008-4873

Phone

(610) 356-6504

Fax

(610) 356-7319

NPI assigned

Aug 22, 2024

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Acme Markets Inc

  • Community/Retail Pharmacy
  • Broomall, PA
  • NPI 1407803968
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1659104958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E BALTIMORE AVE APT K6",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181712",
            "telephone_number": "717-343-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SPROUL RD STE 11",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084873",
            "telephone_number": "610-356-6504",
            "fax_number": "610-356-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP458753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF PENNSYLVANIS",
            "identifier": "RPI016962",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mainline Healthcare Bryn Mawr Family Practice
• Jasmine Mallard
• Britnee Driscoll Mallory, LPC
• Christina M Malseed
• Adrianna Mancini
• Joanne Mandell, APRN, PMHNP-BC
• Stephanie Mandos, CRNP
• Victoria Alexis Manning, BEHAVIOR TECHNICIAN
• Aniyah Simone Maples
• Marc Belitsky D.C., .PC.

• Pharmacist in Broomall, PA
• Providers in Broomall, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.