Individual provider

Andrya Mammen, R PH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist

Andrya Mammen, R PH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jbsa Lackland, TX, registered under NPI 1710201488. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
N16493 IA Pharmacist Clinician (PhC)/ Clinical… primary
35747 TX Pharmacist
35747 TX Pharmacist Clinician (PhC)/ Clinical…

Licences are recorded in 2 states: IA, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Iowa and Texas. The practice address on file is in Jbsa Lackland, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IA Iowa
Licence
N16493
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the IA board →
TX Texas practice address
Licence
35747
Specialty
Pharmacist
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist covers

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. NUCC Health Care Provider Taxonomy, code 1835P0018X
Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist N16493 IA primary
183500000X Pharmacist 35747 TX
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 35747 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1710201488 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 24, 2010
Last updatedFeb 11, 2026
StatusActive
Sole proprietorYes
CredentialR PH
Practice address 1100 WILFORD HALL LOOP BLDG 4554
Jbsa Lackland, TX 78236
(210) 292-7384
This record was updated on Feb 11, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1710201488 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 1 0 2 0 1 4 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 2 0 4 0 2 4 7

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1710201488?
NPI 1710201488 is the National Provider Identifier assigned to Andrya Mammen, R PH in Jbsa Lackland, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist cover?
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.
How do I contact Andrya Mammen, R PH?
The phone number on file with NPPES is (210) 292-7384, last updated Feb 11, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1710201488 a valid number?
Yes. 1710201488 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.