P Praxis·MD
● Active Type 1 · Individual

Andrya Marie Mammen, R PH

Pharmacist·Jbsa Lackland, TX· NPI 1710201488 · Enumerated 2010 · 16 years on NPI
Mammen is 1 of 4 pharmacist providers in Jbsa Lackland and 1 of 1239 in Texas.
NPI age
16 years
Enumerated 2010-03-24
Primary specialty
Pharmacist
Plus 2 subspecialties
Licensed in
IA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1239 active pharmacist providers in Texas.

NPI age
16 years
↑ 10 yr above median (6 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-03Enumerated in NPPES
2010 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102927384
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782369908
📞 2102927384

Specialties

  • Pharmacist Primary
    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.
    IA license #N16493TX license #35747 taxonomy 1835P0018X
  • Pharmacist
    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,...
    TX license #35747 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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