Kenneth Manzo, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

040915 Issued in NY

Practice address

12 Sussex St
Port Jervis, NY 12771-2421

Phone

(845) 856-8314

Fax

(845) 856-3875

NPI assigned

Nov 7, 2006

Last updated

Jul 15, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braunagel & Braunagel, Inc.

  dba Aliton's Pharmacy Home Healthcare Centers

  • Long Term Care Pharmacy
  • Port Jervis, NY
  • NPI 1225774953
  NPD (past)
• Braunagel & Braunagel, Inc.

  dba Aliton's Pharmacy Home Healthcare Centers

  • Community/Retail Pharmacy
  • Port Jervis, NY
  • NPI 1386644987
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1669541462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUSSEX ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712421",
            "telephone_number": "845-856-8314",
            "fax_number": "845-856-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SUSSEX ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712421",
            "telephone_number": "845-856-8314",
            "fax_number": "845-856-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "KENNETH",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Llado, MD
• Emmanise Louis I, FNP
• Jessica Lyko
• Dipti U Maniar, DDS
• Nicole Manzare
• Marian Susan Sanborn LCSW PLLC
• Zaharoula Maris, D.M.D.
• Kellie A Markle
• Cynthia Marsilio, A.N.P.
• Barbara Marie Marszalek, FPMHNP

• Pharmacist in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.