Active NPI
Sahar F Mansour
- Ambulatory Care Pharmacist
- Macomb, MI
National Provider Identifier
1043932791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5315116070
- Practice address
- 49140 Kilkenny Dr
Macomb, MI 48044-1790 - Phone
- (800) 456-2112
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 5315116070 | MI | Primary |
Addresses
Primary practice location
49140 Kilkenny Dr
Macomb, MI 48044-1790
Mailing address
49140 Kilkenny Dr
Macomb, MI 48044-1790
Phone (800) 456-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315116070 | MI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1043932791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49140 KILKENNY DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441790",
"telephone_number": "800-456-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49140 KILKENNY DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441790",
"telephone_number": "800-456-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "SAHAR",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5315116070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.