Manninos Family Practice Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.001825IR Issued in LA

Legal business name

MANNINOS FAMILY PRACTICE PHARMACY INC

Practice address

113 W Charles St
Hammond, LA 70401-3232

Phone

(985) 542-8466

Fax

(985) 542-2561

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Richard Mannino, RPHNPI 1134456114

Title

Owner President

Phone

(985) 542-8466

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Mannino's Family Practice Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ponchatoula Nursing Home, LLC

  • Skilled Nursing Facility
  • Hammond, LA
  • NPI 1780770719

  Member Of

  NPD member

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Mannino, RPH

  • Pharmacist
  • Hammond, LA
  • NPI 1134456114
  NPD Authorized official
• Sadie Mannino Bennett, PHARM.D., RPH

  • Pharmacist
  • Hammond, LA
  • NPI 1659748291
  NPD (past)
• Christopher Guerin, PHARMD

  • Pharmacist
  • Hammond, LA
  • NPI 1538032586
  NPD (past)
• Robert Nethery

  • Pharmacist
  • Ponchatoula, LA
  • NPI 1083020838
  NPD (past)
• Anita Patel

  • Pharmacist
  • Hammond, LA
  • NPI 1104573161
  NPD (past)
• Vincent Joseph Rusciano, RPH

  • Pharmacist
  • Hammond, LA
  • NPI 1023345030
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1891700431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041442",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHARLES ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013232",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNINOS FAMILY PRACTICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "985-542-8466",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.001825IR",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254771",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannino's Family Practice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Star Mancil
• Melanie Mann, LMSW
• Alan W. Manning, M.D.
• Richard Mannino, RPH
• Manninos Family Practice Pharmacy Inc
• Mantecol LLC
• Brady Mapes
• Marathon Health LLC
• Marathon Health, LLC
• Kimberly Langhoff Marcel, APRHN, FNP-C

• All providers in Hammond, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.