Individual provider Active NPI

Lilian Nyanganyi Momanyi, PHARMD

  • Pharmacist
  • Mansfield, TX
National Provider Identifier
1871964304
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43436 Issued in TX
Practice address
4303 Crestview LN
Mansfield, TX 76063-8623
Phone
(817) 301-4590
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43436 TX Primary

Addresses

Primary practice location

4303 Crestview LN
Mansfield, TX 76063-8623

Mailing address

4303 Crestview LN
Mansfield, TX 76063-8623
Phone (817) 301-4590

Other names 1

  • Lilian Nyanganyi Oenga Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
43436TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1871964304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 CRESTVIEW LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638623",
            "telephone_number": "817-301-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 CRESTVIEW LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638623",
            "telephone_number": "817-301-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMANYI",
        "first_name": "LILIAN",
        "middle_name": "NYANGANYI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "OENGA",
            "middle_name": "NYANGANYI",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.