ROGER PAUL MANGUM RPH
NPI 1437434784
Pharmacist in Coeur D Alene, ID

Q: What is Roger Mangum's NPI number?

The NPI number for Roger Mangum is 1437434784. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Q: What is Roger Mangum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Mangum was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 19, 2011

335 W APPLEWAY AVE, COEUR D ALENE, ID 83814(208) 765-1254(208) 765-1303 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roger Paul Mangum Rph NPPES

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

ROGER PAUL MANGUM RPH (NPI 1437434784) is an individual pharmacist in Coeur D Alene, Idaho, licensed in Idaho (P3920) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1437434784

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameROGER PAUL MANGUMCredential: RPH

Location Address335 W APPLEWAY AVECoeur D Alene, ID 83814-9306

Mailing Address335 W Appleway AveCoeur D Alene, ID 83814-9306 · (208) 765-1254 · Fax (208) 765-1303

Phone(208) 765-1254

Fax(208) 765-1303

Sole ProprietorNo

Enumeration DateOctober 19, 2011

✔ NPI 1437434784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in ID · P3920

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.

335 W APPLEWAY AVE, Coeur D Alene, ID 83814

Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

KYLE ALLEN ROBERTS PHARMD

Pharmacist