Active NPI
Claude Manjo
- Pharmacist
- Tacoma, WA
National Provider Identifier
1750730511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20796
- Practice address
- Madigan Army Medical Ctr
9040 Reid Street, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100 - Phone
- (253) 968-2252
- Fax
- (253) 968-3278
- NPI assigned
- Jun 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20796 | MD | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Reid Street, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Ctr
9040 Reid Street, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Phone (253) 968-2252
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20796 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465603200000",
"number": "1750730511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID STREET, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID STREET, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANJO",
"first_name": "CLAUDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-11",
"last_updated": "2016-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.