Mariana Gallegos, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

070675 Issued in NY

Practice address

2100 Trumansburg Rd
Trumansburg, NY 14886-9129

Phone

(607) 387-6661

NPI assigned

Sep 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Trumansburg, NY
  • NPI 1275640450
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1760362024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 TRUMANSBURG RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869129",
            "telephone_number": "607-387-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TRUMANSBURG RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869129",
            "telephone_number": "607-387-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MARIANA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karren Downs, DO
• Katherine Farrell, LCSW
• Suzanne B Feehan, LCSW CGP
• Christina J Foreman
• Heather C Forsythe
• Lisa I Glasner, MS., CCC-SLP
• Annalee Margaret Griffen, LMSW
• Shern Hart, M.D.
• Gerrit W Heetderks, MD
• Neil F. Henninger, O.D.

• Pharmacist in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.