Individual provider Active NPI

Manuel Norona, RPH

  • Pharmacist
  • Mineola, NY
National Provider Identifier
1932422417
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035518 Issued in NY
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

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
035518OtherNYSTATE 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

LicenseStateTypeSpecialty
035518NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineola Family Pharmacy Inc. Current Accepting new patients
Mineola Pharmacy Inc. PastSince Feb 19, 2023 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.

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.

Verify at the official NPI Registry.