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Active NPI 1235262395 Individual Practitioner Male Practitioner

Dr. Gervasis Manuel , PharmD

Pharmacist • South Bend, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Gervasis Manuel, PharmD is a registered healthcare professional specializing in Pharmacist in South Bend, IN. Official NPI practice address is registered at 2845 W CLEVELAND RD.

Practice Location & Contact Primary Location

Practice Address

2845 W Cleveland Rd

South Bend, IN 466286188

Telephone 5742771538
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1740295864

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in South Bend, IN

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

Practicing in South Bend, IN (5218 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302035864

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
5302035864 (MI)
Commercial Insurance / Payer ID Licence
26022347A (IN)
Commercial Insurance / Payer ID License
051291744 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1144147935
NPI 1225312978

Registered Pharmacist

NPI 1245622984

Doctor of Pharmacy (Pharm.D.)

NPI 1669864864

Doctor of Pharmacy (Pharm.D.)

Jeffrey James

Pharmacist

NPI 1922388412

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2011

Registered at 2845 W CLEVELAND RD, SOUTH BEND, IN 466286188 (Tel: 5742771538)

📍
Updated Business Mailing Address January 26, 2011

Registered at 1460 SIOUX TRL, NILES, MI 491203136 (Tel: 2696820404)

👤
Provider Name / Credentials Updated January 26, 2011

Recorded as GERVASIS MANUEL, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2011

Pharmacist (License #5302035864 in MI)

🟢
Initial NPI Registration & Enumeration March 14, 2007

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: 1235262395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: January 26, 2011
Sole Proprietor: No

Mailing Address

1460 Sioux Trl

Niles, MI 491203136

Phone: 2696820404

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.