Active NPI
Manuel Norona, RPH
- Pharmacist
- Mineola, NY
National Provider Identifier
1932422417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035518
- Practice address
- 182 2ND St
Mineola, NY 11501-4021 - Phone
- (516) 427-5573
- Fax
- (516) 427-5574
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035518 | NY | Primary |
Addresses
Primary practice location
182 2ND St
Mineola, NY 11501-4021
Mailing address
182 2ND St
Mineola, NY 11501-4021
Phone (516) 427-5573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035518 | Other | NY | STATE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035518 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineola Family Pharmacy Inc. | Current | Accepting new patients | |
| Mineola Pharmacy Inc. | Past | Accepting new patients |
Locations
182 2nd St
Mineola, NY 11501
Phone (516) 427-5573
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Mineola, NY
- NPI 1912253956
-
dba Mineola Family Pharmacy
- Community/Retail Pharmacy
- Mineola, NY
- NPI 1184322349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1932422417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 2ND ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014021",
"telephone_number": "516-427-5573",
"fax_number": "516-427-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 2ND ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014021",
"telephone_number": "516-427-5573",
"fax_number": "516-427-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORONA",
"first_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "035518",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.