Active NPI
Taryn Felise Mandel
- Pharmacist
- Staten Island, NY
National Provider Identifier
1972819464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037173
- Practice address
- 2465 Richmond Ave
Staten Island, NY 10314-5803 - Phone
- (718) 370-0365
- NPI assigned
- Aug 23, 2010
- Last updated
- Aug 23, 2010
- Sex
- Female
- 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 | 037173 | NY | Primary |
Addresses
Primary practice location
2465 Richmond Ave
Staten Island, NY 10314-5803
Mailing address
11 Windham Loop
3CC
Staten Island, NY 10314-5959
Phone (718) 982-0104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037173 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1972819464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WINDHAM LOOP",
"address_2": "3CC",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145959",
"telephone_number": "718-982-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145803",
"telephone_number": "718-370-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "TARYN",
"middle_name": "FELISE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.