Active NPI
Michael Paul Manno, RPH
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1689996522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11468
- Practice address
- 1716 Pleasant Rd
Fort Mill, SC 29708-7815 - Phone
- (803) 802-7644
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11468 | SC | Primary |
Addresses
Primary practice location
1716 Pleasant Rd
Fort Mill, SC 29708-7815
Mailing address
11063 Holiday Cove Dr
Fort Mill, SC 29708-7219
Phone (803) 396-8891
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Fort Mill, SC
- NPI 1891814000
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1689996522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11063 HOLIDAY COVE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087219",
"telephone_number": "803-396-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 PLEASANT RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087815",
"telephone_number": "803-802-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNO",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.