Active NPI
Mark Mansour Saleh, PHARMD
- Pharmacist
- Flint, MI
National Provider Identifier
1063150696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414151
- Practice address
- 4433 Miller Rd
Flint, MI 48507-1123 - Phone
- (810) 733-6653
- NPI assigned
- May 24, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302414151 | MI | Primary |
Addresses
Primary practice location
4433 Miller Rd
Flint, MI 48507-1123
Mailing address
1960 Blue Grass Dr
Rochester Hills, MI 48306-3228
Phone (248) 520-0526
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414151 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1063150696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 BLUE GRASS DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483063228",
"telephone_number": "248-520-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 MILLER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485071123",
"telephone_number": "810-733-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "MARK",
"middle_name": "MANSOUR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "4433 Miller Rd",
"city": "Flint",
"state": "MI",
"country_code": "US",
"postal_code": "485071123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.