Jay Mandra, PHARMD
NPI 1558340711ActiveIndividual· Pharmacist, Geriatric· Estero, FL
Pharmacist, Geriatric (PHARMD) in Estero, Florida, licensed in FL and IL, with an NPI issued in January 2006.
Overview
| NPI | 1558340711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Jan 15, 2006 |
| Last updated in NPPES | Dec 20, 2022 |
| Certified by provider | Dec 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Geriatric Primary | 1835G0303X | PS63633 | FL |
| Pharmacist | 183500000X | 051-287659 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|