ANDRYA MARIE MAMMEN R PH
NPI 1710201488
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jbsa Lackland, TX
About Andrya Marie Mammen R Ph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRYA MARIE MAMMEN R PH (NPI 1710201488) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Jbsa Lackland, Texas, licensed in Iowa (N16493) and active in the NPI registry since March 2010.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACKLAND AFB, TX 78236
LACKLAND AFB, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
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 Andrya Mammen's NPI number?
The NPI number for Andrya Mammen is 1710201488. It was assigned to this individual provider in the NPPES registry on March 24, 2010. The provider is also known as Andrya Marie Novak R Ph.
Where is Andrya Mammen located?
Andrya Mammen practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7384.
What is Andrya Mammen's specialty?
The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.
When was this NPI record last updated?
The NPPES record for Andrya Mammen was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Andrya Marie Mammen, R PH · NPI 1710201488
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2010.
## Identity
- **NPI:** 1710201488 (Entity type: Individual)
- **Enumerated:** March 24, 2010
- **Primary specialty:** Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · taxonomy 1835P0018X
- **State license:** N16493 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-7384
## Record status
- **NPPES last updated:** February 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710201488) · Data from the CMS NPPES public registry.