Bogdan Mandzyuk, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

73011 Issued in CA

Practice address

4308 Swiss CT
Elk Grove, CA 95758-3924

Phone

(916) 533-3492

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1962864769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 SWISS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583924",
            "telephone_number": "916-533-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 SWISS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583924",
            "telephone_number": "916-533-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDZYUK",
        "first_name": "BOGDAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Roland Catan Manalang
• Susan Bravo Manangan, DDS
• Monica Mancera
• Melody R Mandell, DPT
• Shiny Mandla, DO
• Joseph Paul Henry Manez
• Madison Manez
• Philip Manganti
• Phillip G. Mangis, M.D.
• Dave D Manguerra Jr.

• Pharmacist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.