Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821827254 Individual Practitioner Male Practitioner

Dr. Blake Rufus Mangum , PharmD

Pharmacist • New Haven, CT

Professional Overview & Biography Verified Profile Summary

Dr. Blake Mangum, PharmD is a registered healthcare professional specializing in Pharmacist in New Haven, CT. Practice services are available at 55 PARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Park St

New Haven, CT 065115474

Telephone 2036884242
Associated Practice Facility / Clinic
🏢 Northeast Medical Group Facility NPI 1396134664

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
278 Specialists

Practicing in New Haven, CT (3300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CT PCT.0016818

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.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License MS E-100727

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Neeharika Thottempudi , MBBS

Psychiatry & Neurology - Neurology

NPI 1003313511

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Brad St. Martin , MD

Obstetrics & Gynecology

NPI 1003349655

Doctor of Medicine (M.D.)

Dr. Sean Pennetti , MD

Psychiatry & Neurology - Neurology

NPI 1003377375

Doctor of Medicine (M.D.)

Paula Tortorici-Scheff , FNP

Nurse Practitioner - Family

NPI 1003396979

Family Nurse Practitioner

Marie Anjeliese Rodriguez

Internal Medicine

NPI 1003420977
Joshua Bia

Emergency Medicine

NPI 1003435207

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2024

Pharmacist (License #PCT.0016818 in CT)

NPI Profile Active August 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2024

Registered at 55 PARK ST, NEW HAVEN, CT 065115474 (Tel: 2036884242)

📍
Updated Business Mailing Address August 01, 2024

Registered at 55 PARK ST, NEW HAVEN, CT 065115474

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as BLAKE MANGUM, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Pharmacist (License #E-100727 in MS)

🟢
Initial NPI Registration & Enumeration August 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821827254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2024
Last Update: September 27, 2024
Sole Proprietor: Yes

Mailing Address

55 Park St

New Haven, CT 065115474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.