Active NPI
Manisha Modi
- Pharmacist
- Pinson, AL
National Provider Identifier
1760087613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20884
- Practice address
- 6665 Highway 75
Pinson, AL 35126-3292 - Phone
- (205) 681-9250
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- Sex
- Female
- 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 | 20884 | AL | Primary |
Addresses
Primary practice location
6665 Highway 75
Pinson, AL 35126-3292
Mailing address
6665 Highway 75
Pinson, AL 35126-3292
Phone (205) 681-9250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Manisha.modi@cvs.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 20884 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1760087613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6665 HIGHWAY 75",
"city": "PINSON",
"state": "AL",
"postal_code": "351263292",
"telephone_number": "205-681-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6665 HIGHWAY 75",
"city": "PINSON",
"state": "AL",
"postal_code": "351263292",
"telephone_number": "205-681-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20884",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Manisha.modi@cvs.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6665 Highway 75",
"city": "Pinson",
"state": "AL",
"country_code": "US",
"postal_code": "351263292",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pinson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.