Active NPI
Kelly Leigh Manocchio, RPH.
- Pharmacist
- Brooklyn Heights, OH
National Provider Identifier
1730324989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03219783
- Practice address
- 5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832 - Phone
- (216) 778-6050
- Fax
- (216) 749-8426
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03219783 | OH | Primary |
| Pharmacist | 183500000X | 26017041A | IN |
Addresses
Primary practice location
5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832
Mailing address
5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832
Phone (216) 778-6050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26017041A | IN | MD | Pharmacist |
| 03219783 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1730324989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 LANCASTER DR",
"city": "BROOKLYN HEIGHTS",
"state": "OH",
"postal_code": "441311832",
"telephone_number": "216-778-6050",
"fax_number": "216-749-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 LANCASTER DR",
"city": "BROOKLYN HEIGHTS",
"state": "OH",
"postal_code": "441311832",
"telephone_number": "216-778-6050",
"fax_number": "216-749-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOCCHIO",
"first_name": "KELLY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03219783",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26017041A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.