Individual provider Active NPI

Whitney Mansy, PHARM.D.

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1740614387
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58294 Issued in TX
Practice address
426 S Henderson St
Fort Worth, TX 76104-1017
Phone
(866) 566-1548
Fax
(866) 320-8853
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD13766 AR
Pharmacist 183500000X 69549 CA
Pharmacist 183500000X 58294 TX Primary

Addresses

Primary practice location

426 S Henderson St
Fort Worth, TX 76104-1017

Mailing address

PO Box 1194
Burleson, TX 76097-1194

Other practice location 1

82451-C Highway 111
Indio, CA 92201-5614
Phone (760) 342-7076

Other practice location 2

1127 Bryn Mawr Ave
Redlands, CA 92374-4558
Phone (909) 799-4066

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
58294TXMDClinical Social Worker
PD13766ARMDPharmacist
69549CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1740614387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760971194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "866-566-1548",
            "fax_number": "866-320-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82451-C Highway 111",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015614",
            "country_code": "US",
            "telephone_number": "760-342-7076",
            "fax_number": "760-775-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744558",
            "country_code": "US",
            "telephone_number": "909-799-4066",
            "fax_number": "855-365-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSY",
        "first_name": "WHITNEY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13766",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69549",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "58294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.