Individual provider Active NPI

Nichoals Mancini, MS, RPH

  • Pharmacist
  • Dunnellon, FL
National Provider Identifier
1932599446
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS13299 Issued in FL
Practice address
10051 S US Highway 41
C/O Winn-Dixie Pharmacy
Dunnellon, FL 34432-4190
Phone
(352) 465-2002
NPI assigned
Feb 4, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS13299 FL Primary
Pharmacotherapy Pharmacist 1835P1200X PS13299 FL

Addresses

Primary practice location

10051 S US Highway 41
C/O Winn-Dixie Pharmacy
Dunnellon, FL 34432-4190

Mailing address

PO Box 1607
Dunnellon, FL 34430-1607
Phone (352) 489-0822

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
Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS13299FLMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1932599446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1607",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344301607",
            "telephone_number": "352-489-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 S US HIGHWAY 41",
            "address_2": "C/O WINN-DIXIE PHARMACY",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344324190",
            "telephone_number": "352-465-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "NICHOALS",
        "name_prefix": "Mr.",
        "credential": "MS, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS13299",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS13299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.