Michael George Manos, BS PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH012598 Issued in GA

Practice address

5963 Spout Springs Rd
Flowery Branch, GA 30542-3452

Phone

(770) 965-2371

Fax

(770) 965-7330

NPI assigned

Sep 22, 2011

Sex

Male

Sole proprietor

Yes

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

Bachelor of Science

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.

• Walgreen Co

  • Pharmacy
  • Flowery Branch, GA
  • NPI 1952534455
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1770866147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 SPOUT SPRINGS RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423452",
            "telephone_number": "770-965-2371",
            "fax_number": "770-965-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 SPOUT SPRINGS RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423452",
            "telephone_number": "770-965-2371",
            "fax_number": "770-965-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "BS PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH012598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Lu, PHARM D
• Janelle Elizabeth Luczka, LCSW
• Jason Lunt, LPC
• Susan L Mack, HOMEOPATH/ND
• Michele Lynn Malone, LCSW
• Jessica E Marmolejos
• Alana Marohnic, LPC
• Adrienne Susan Marzano, RPH
• Ressy Mathews, MD
• Jayci Marie McIntyre, ATC

• Pharmacist in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.