LILLY MANDUKU
NPI 1336741990
Pharmacist in Lake Worth, TX

Active since November 09, 2020
6360 LAKE WORTH BLVD, LAKE WORTH, TX 76135(817) 237-1118 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lilly Manduku NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLY MANDUKU (NPI 1336741990) is an individual pharmacist in Lake Worth, Texas, licensed in Texas (42289) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1336741990
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLILLY MANDUKU
Location Address6360 LAKE WORTH BLVDLake Worth, TX 76135-3604
Mailing Address6360 Lake Worth BlvdLake Worth, TX 76135-3604 · (817) 237-1118 · Fax (817) 237-1119
Sole ProprietorYes
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
NPI 1336741990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 42289
Definition
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.
6360 LAKE WORTH BLVD, Lake Worth, TX 76135

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
6360 LAKE WORTH BLVD
FORT WORTH, TX 76135
Eyewear Supplier
6360 LAKE WORTH BLVD
LAKE WORTH, TX 76135
Audiologist-Hearing Aid Fitter
6360 LAKE WORTH BLVD
LAKE WORTH, TX 76135
Pharmacy (Community/Retail Pharmacy)
6360 LAKE WORTH BLVD
LAKE WORTH, TX 76135
Optometrist
6360 LAKE WORTH BLVD
LAKE WORTH, TX 76135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilly Manduku's NPI number?

The NPI number for Lilly Manduku is 1336741990. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Lilly Manduku located?

Lilly Manduku practices at 6360 Lake Worth Blvd, Lake Worth, TX 76135. The listed phone number is (817) 237-1118.

What is Lilly Manduku's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lilly Manduku was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.