MR. GARY MANZO (NPI# 1356717169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356717169 |
| Entity Type | Individual |
| Full Name | MR. GARY MANZO |
| Practice Address |
28 Mount Hunger Shore Rd Windham ME 04062-5662 |
| Practice Telephone | 2077210990 |
| Practice Fax Number | 2077210662 |
| Mailing Telephone | 2077210990 |
| Mailing Fax Number | 2077210662 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR3982 | ME | Pharmacy Service Providers |
| Street Address |
28 MOUNT HUNGER SHORE RD |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-5662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1053806521 | Thomas Fraser | Pharmacist | 24 Cedar Hl, Windham, CT 06280-1418 | 2018-06-27 |
| 1275984395 | Anait Lvin | Pharmacist | 112 Castle Hill Rd, Windham, NH 03087-1746 | 2016-06-29 |
| 1710308895 | Keith Flenniken | Pharmacist | 20 Range Rd, Windham, NH 03087-2022 | 2013-12-17 |
| 1174968945 | Jeffrey Michael Gonzalez | Pharmacist | 2868 County Route 10, Windham, NY 12496-1639 | 2013-05-06 |
| 1194040717 | William Thomas Quackenbush IIi | Pharmacist | Rte 296 & South St, Windham, NY 12496-0068 | 2010-04-07 |
| 1104940006 | Robert Chauncey Haas | Pharmacist | 1 Juniper Rd, Windham, NH 03087-1424 | 2007-03-17 |
| 1750472288 | David R Gearhart | Pharmacist | 10605 State Route 303, Windham, OH 44288-9778 | 2006-09-28 |
| 1285246140 | Pierre Sam Hanna | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2020-08-20 |
| 1306485065 | Gabrielle Kana Tiezan | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2019-12-29 |
| Find all providers in WINDHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.