Active NPI
Jared Lucas Mangano, RPH
- Pharmacist
- Haverhill, MA
National Provider Identifier
1962926170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239499
- Practice address
- 35 Computer Dr
Haverhill, MA 01832-1236 - Phone
- (978) 377-9004
- Fax
- (978) 377-1183
- NPI assigned
- Jul 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0021830 | CO | |
| Pharmacist | 183500000X | PH239499 | MA | Primary |
Addresses
Primary practice location
35 Computer Dr
Haverhill, MA 01832-1236
Mailing address
35 Computer Dr
Haverhill, MA 01832-1236
Phone (978) 377-9004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH239499 | Other | MA | STATE PHARMACIST LICENSE |
| PHA.0021830 | Other | CO | STATE PHARMACIST LICENSE |
| PHCY-01051 | Other | NH | STATE PHARMACIST 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 |
|---|---|---|---|
| PHA.0021830 | CO | MD | Pharmacist |
| PH239499 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1962926170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 COMPUTER DR",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018321236",
"telephone_number": "978-377-9004",
"fax_number": "978-377-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COMPUTER DR",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018321236",
"telephone_number": "978-377-9004",
"fax_number": "978-377-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANO",
"first_name": "JARED",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-29",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0021830",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "PH239499",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "PHA.0021830",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "PHCY-01051",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.