Active NPI
Mani Family, LLC
- Pharmacy
- Kalamazoo, MI
National Provider Identifier
1790410397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MANI FAMILY, LLC
- Practice address
- 8083 Vineyard Parkway
Kalamazoo, MI 49009 - Phone
- (269) 290-0958
- NPI assigned
- Jul 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Mani
- Title
- Owner
- Phone
- (269) 290-0958
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
8083 Vineyard Parkway
Kalamazoo, MI 49009
Mailing address
8083 Vineyard Pkwy
Kalamazoo, MI 49009-3892
Phone (269) 492-8999
Other names 1
- Texas Corners Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230907002211 | MI | Part B Supplier - Pharmacy | 9739543810 | Practice locations: Kalamazoo, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Mani Family LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Kalamazoo, MI
- NPI 1659173417
Locations
8083 Vineyard Pkwy
Kalamazoo, MI 49009
Phone (269) 290-0958
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacotherapy Pharmacist
- Kalamazoo, MI
- NPI 1376954958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695859200000",
"number": "1790410397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8083 VINEYARD PKWY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093892",
"telephone_number": "269-492-8999",
"fax_number": "833-867-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8083 VINEYARD PARKWAY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49009",
"telephone_number": "269-290-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANI FAMILY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-19",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A",
"authorized_official_last_name": "MANI",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-290-0958"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Corners Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Texas Corners Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.