Organization Active NPI

Mannings 8TH Ave Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1861486979
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027289 Issued in NY
Legal business name
MANNINGS 8TH AVE INC
Practice address
6402 8TH Ave
G103
Brooklyn, NY 11220-4720
Phone
(718) 238-3850
Fax
(718) 238-3856
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Ms. Ernie NG
Title
President
Phone
(718) 238-3850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027289 NY Primary

Addresses

Primary practice location

6402 8TH Ave
G103
Brooklyn, NY 11220-4720

Mailing address

6402 8TH Ave
G103
Brooklyn, NY 11220-4720
Phone (718) 238-3850

Other identifiers 2

IdentifierTypeStateIssuer
3345825OtherNYNCPDP
02685472MedicaidNY

Other names 1

  • Mannings 8th Ave Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930048793 NY DME Supplier - Pharmacy 7719198357 Practice locations: Brooklyn, NY
O20210427000438 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719198357 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Mannings 8TH Ave Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1861486979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 8TH AVE",
            "address_2": "G103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204720",
            "telephone_number": "718-238-3850",
            "fax_number": "718-238-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 8TH AVE",
            "address_2": "G103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204720",
            "telephone_number": "718-238-3850",
            "fax_number": "718-238-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNINGS 8TH AVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-3850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3345825",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannings 8th Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mannings 8th Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.