Individual provider Active NPI

Kelly Leigh Manocchio, RPH.

  • Pharmacist
  • Brooklyn Heights, OH
National Provider Identifier
1730324989
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03219783 Issued in OH
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

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26017041AINMDPharmacist
03219783OHMDPharmacist

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.

Verify at the official NPI Registry.