Organization Active NPI

Mannings Pharmacy Corporation

  • Pharmacy
  • New York, NY
National Provider Identifier
1841284957
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020841 Issued in NY
Legal business name
MANNINGS PHARMACY CORPORATION
Practice address
13-17 Elizabeth St, Unit 118
New York, NY 10013-4803
Phone
(212) 941-6480
Fax
(212) 925-3967
NPI assigned
Sep 2, 2005
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Mr. Ernie NG
Title
President
Phone
(212) 491-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020841 NY Primary

Addresses

Primary practice location

13-17 Elizabeth St, Unit 118
New York, NY 10013-4803

Mailing address

13-17 Elizabeth St, Unit 118
New York, NY 10013-4803
Phone (212) 941-6480

Other identifiers 1

IdentifierTypeStateIssuer
01226439MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930072234 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1850501271 Practice locations: New York, NY
O20201229000110 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1850501271 Practice locations: New York, NY
O20250522002161 NY Part B Supplier - Pharmacy 1850501271 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Mannings Pharmacy Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Elizabeth St
New York, NY 10013
Phone (212) 941-6480

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1841284957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-17 ELIZABETH ST, UNIT 118",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-941-6480",
            "fax_number": "212-925-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-17 ELIZABETH ST, UNIT 118",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-941-6480",
            "fax_number": "212-925-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNINGS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-04-29",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-491-6480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "020841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.