Organization Active NPI

Manns Drug Store

  • Pharmacy
  • White Oak, PA
National Provider Identifier
1780681676
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MANNS DRUG STORE
Practice address
1101 Lincoln Way
White Oak, PA 15131-1301
Phone
(412) 672-7617
Fax
(412) 672-6770
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. David W Manns
Title
MGR/Owner
Phone
(412) 672-7617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PA Primary

Addresses

Primary practice location

1101 Lincoln Way
White Oak, PA 15131-1301

Mailing address

1101 Lincoln Way
White Oak, PA 15131-1301
Phone (412) 672-7617

Other identifiers 1

IdentifierTypeStateIssuer
0006971000001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780681676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311301",
            "telephone_number": "412-672-7617",
            "fax_number": "412-672-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311301",
            "telephone_number": "412-672-7617",
            "fax_number": "412-672-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANNS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MGR/OWNER",
        "authorized_official_telephone_number": "412-672-7617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006971000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.