Victoria Marie Maneely, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

1374 Issued in AZ

Practice address

642 Dameron Dr
Prescott, AZ 86301-2411

Phone

(928) 445-5211

Fax

(928) 771-4476

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Marie Gallagher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1790955672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RUTH ST",
            "address_2": "SUITE 6",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011740",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 DAMERON DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012411",
            "telephone_number": "928-445-5211",
            "fax_number": "928-771-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEELY",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "GALLAGHER",
            "middle_name": "MARIE",
            "credential": "CPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mauricio Mairena, LCSW
• Ana Christina Malachowski, L.M.T, M.M.P,
• Paul M Malczak, DO
• Thad Malik
• Mallaro Anesthesia LLC
• Stefanie Maneval, RN
• Karie Mangiardi-Hammond, OTR/L
• Joseph Brett Mangum, DDS
• Richard Turner Mangum, D.D.S.
• Karen R Mann, PHARMD

• Pharmacy Technician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Pharmacy Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.