Manson Health Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MANSON HEALTH INC

Practice address

13807 Queens Blvd
Briarwood, NY 11435-2641

Phone

(718) 880-2844

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Radion Iskhakov

Title

President

Phone

(718) 880-2844

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Manson Health Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1699227066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-880-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-880-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSON HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "RADION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-880-2844"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manson Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Odalys C Lopez
• Kevin Wilton Ma, MSN
• Ana Miriam Machuca, M.A.
• Maksoud Pharm Inc.
• Hossam Abdel Maksoud
• Manson Pharmacy Inc
• Debra Marcelonis
• Yana Masikhaeva
• Suraj Bhakta Mathema, RD
• Ashok Marulappa Mavinakere, MS-CCC/SLP

• Pharmacy in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.