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NPI Code Detail

MEDICARE: DR. JOHANN MANI PHARMD, BCPS

MEDICARE: DR. JOHANN MANI PHARMD, BCPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist022990KY

General Provider Information

NPI Number : 1316879828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHANN MANI PHARMD, BCPS
Provider Business Mailing Address
First Line : 2967 TRAILWOOD LN
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-8873
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 NICHOLASVILLE RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1431
Country : US
Telephone Number : 859-260-6659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2026
Last Update Date : 05/30/2026

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