Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Rufus Mangum, PHARMD

Individual provider Pharmacist · NPI 1821827254

Blake Rufus Mangum, PHARMD is a Pharmacist in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut and Mississippi.

Licensed in
CT, MS
In the registry since
2024
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Park St
New Haven, CT 06511-5474
Phone: (203) 688-4242
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PCT.0016818 (CT)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence E-100727 (MS)

Record details

NPI number1821827254
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 1, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address55 Park St, New Haven, CT 06511-5474

Other providers in New Haven