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BLAKE RUFUS MANGUM PHARMD
NPI 1821827254
Pharmacist in New Haven, CT

Active since August 01, 2024
55 PARK ST, NEW HAVEN, CT 06511(203) 688-4242 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Blake Rufus Mangum Pharmd NPPES

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

BLAKE RUFUS MANGUM PHARMD (NPI 1821827254) is an individual pharmacist in New Haven, Connecticut, licensed in Connecticut (PCT.0016818) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1821827254
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBLAKE RUFUS MANGUMCredential: PHARMD
Location Address55 PARK STNew Haven, CT 06511-5474
Mailing Address55 Park StNew Haven, CT 06511-5474
Phone(203) 688-4242
Sole ProprietorYes
Enumeration DateAugust 1, 2024
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1821827254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CT · PCT.0016818
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.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License E-100727 (MS)
55 PARK ST, New Haven, CT 06511
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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.

STEFANIE A COLLOMY PHARMD
Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-1111
NIRALI JAYESH PATEL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 200-3100
MEGAN TROMBI PHARMD
Pharmacist (Critical Care)
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (774) 487-5207
MR. PAUL HWANG PHARMD
Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-1111
TINA THAO DO PHARMD
Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 200-3897
ASHLEY MARIE WEST PHARMD
Pharmacist (Critical Care)
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-0529
SARA MOHAMED JASZCZUR PHARMD
Pharmacist (Oncology)
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 200-1765
KATHRYN SACRO PHARMD
Pharmacist (Ambulatory Care)
55 PARK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-9956

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 Blake Mangum's NPI number?

The NPI number for Blake Mangum is 1821827254. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Blake Mangum located?

Blake Mangum practices at 55 Park St, New Haven, CT 06511. The listed phone number is (203) 688-4242.

What is Blake Mangum'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 Blake Mangum was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.