Jess Allan Mangold, RPH is a
Pharmacist based in Combined Locks, Wisconsin. Jess Allan Mangold is licensed to practice in Wisconsin (license number 14360-40) and his current practice location is
644 Roland St, Combined Locks, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 570-8095.
NPI number for Jess Allan Mangold is 1154130037 and his current mailing address is 644 Roland St, Combined Locks, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154130037.
Healthcare Provider's Profile
Full Name | Jess Allan Mangold |
---|
Gender | Male |
---|
Speciality | Pharmacist |
---|
Location | 644 Roland St, Combined Locks, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154130037
- Provider Enumeration Date: 01/06/2025
- Last Update Date: 01/06/2025
Medical Identifiers
Medical identifiers for Jess Allan Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154130037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 14360-40 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jess Allan Mangold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jess Allan Mangold, RPH 644 Roland St, Combined Locks, WI 54113-1402 Ph: (920) 570-8095 | Jess Allan Mangold, RPH 644 Roland St, Combined Locks, WI 54113-1402 Ph: (920) 570-8095 |
Reviews and Comments