Jay Mandra, PHARMD

Geriatric Pharmacist · Estero, FL

Individual Active NPI

NPI number 1558340711

Practice location

20685 Corkscrew Shores Blvd
Estero, FL 33928-9167

Phone: (815) 955-3688

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NPI record

NPI: 1558340711
Entity type: Individual (Type 1)
Enumeration date: January 15, 2006
Last updated: December 20, 2022
Certified: December 20, 2022
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Geriatric Pharmacist Primary	`1835G0303X`	PS63633	FL
Pharmacist	`183500000X`	051-287659	IL

About Dr. Mandra

Jay Mandra, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Geriatric Pharmacist (code 1835G0303X). The practice location is 20685 Corkscrew Shores Blvd, Estero, FL 33928-9167. The NPI number 1558340711 was assigned on January 15, 2006 and the record was last updated on December 20, 2022.

Dr. Mandra lists 2 licenses in the registry: #PS63633 (FL) for Geriatric Pharmacist; #051-287659 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Mandra, PHARMD?

The NPI number is 1558340711.

What is the phone number of Dr. Mandra?

The phone number listed for the practice location is (815) 955-3688.

Where is Dr. Mandra located?

20685 Corkscrew Shores Blvd, Estero, FL 33928-9167.

What is the taxonomy code for Dr. Mandra?

The primary taxonomy code is 1835G0303X – Geriatric Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.