Active NPI
Manning Pharmacy Inc
- Community/Retail Pharmacy
- Rowland Heights, CA
National Provider Identifier
1790796282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY40018
- Legal business name
- MANNING PHARMACY INC
- Practice address
- 1724 Nogales St
Rowland Heights, CA 91748-2943 - Phone
- (626) 810-8211
- Fax
- (626) 810-8985
- NPI assigned
- Aug 10, 2006
- 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
- Elke Suen, PHARM. D
- Title
- Pharmacist in Charge
- Phone
- (626) 810-8211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY40018 | CA | Primary |
Addresses
Primary practice location
1724 Nogales St
Rowland Heights, CA 91748-2943
Mailing address
1724 Nogales St
Rowland Heights, CA 91748-2943
Phone (626) 810-8211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1999576 | Other | PK | |
| PHA400180 | Medicaid | CA |
Other names 1
- MANNING MEDICAL PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220503002736 | CA | Part B Supplier - Pharmacy | 8820266240 | Practice locations: Rowland Heights, CA |
National Provider Directory
National Provider DirectoryLocations
1724 Nogales St
Rowland Heights, CA 91748
Phone (626) 810-8211
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rowland Heights, CA
- NPI 1780096214
-
- Pharmacist
- Rowland Heights, CA
- NPI 1407981194
-
- Pharmacist
- Rowland Heights, CA
- NPI 1396660700
-
- Pharmacist
- Rowland Heights, CA
- NPI 1033749981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1790796282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 NOGALES ST",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482943",
"telephone_number": "626-810-8211",
"fax_number": "626-810-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 NOGALES ST",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482943",
"telephone_number": "626-810-8211",
"fax_number": "626-810-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANNING PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2017-05-01",
"status": "A",
"authorized_official_last_name": "SUEN",
"authorized_official_first_name": "ELKE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "626-810-8211",
"authorized_official_credential": "PHARM. D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY40018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1999576",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA400180",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MANNING MEDICAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.