Organization Active NPI

Manning Pharmacy Inc

  • Community/Retail Pharmacy
  • Rowland Heights, CA
National Provider Identifier
1790796282
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY40018 Issued in CA
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

Updated by the provider on May 1, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1999576OtherPK
PHA400180MedicaidCA

Other names 1

  • MANNING MEDICAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503002736 CA Part B Supplier - Pharmacy 8820266240 Practice locations: Rowland Heights, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.