Individual provider Active NPI

Efthymios Manolis

  • Pharmacist
  • Aurora, CO
National Provider Identifier
1710604194
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0023452 Issued in CO
Practice address
11926 E Harvard Ave
Aurora, CO 80014-1806
Phone
(978) 869-6623
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH233953 MA
Pharmacist 183500000X PHA.0023452 CO Primary

Addresses

Primary practice location

11926 E Harvard Ave
Aurora, CO 80014-1806

Mailing address

11926 E Harvard Ave
Aurora, CO 80014-1806

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.linkedin.com/in/efthymios-manolis/

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

State licenses

LicenseStateTypeSpecialty
PHA.0023452COMDPharmacist
PH233953MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710604194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11926 E HARVARD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11926 E HARVARD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141806",
            "telephone_number": "978-869-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLIS",
        "first_name": "EFTHYMIOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH233953",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0023452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/efthymios-manolis/",
            "affiliation": "N",
            "address_1": "11926 E Harvard Ave",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800141806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.