Active NPI
Hesham Nabil Ibrahim Mansour, RPH
- Pharmacist
- Flushing, NY
National Provider Identifier
1093067902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056639
- Practice address
- 18616 Union Tpke
Flushing, NY 11366-1734 - Phone
- (718) 264-0319
- NPI assigned
- Oct 3, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 056639 | NY | Primary |
Addresses
Primary practice location
18616 Union Tpke
Flushing, NY 11366-1734
Mailing address
118 E 3Rd St Apt 5a
New York, NY 10009-7647
Phone (443) 889-7870
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056639 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1093067902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E 3RD ST APT 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097647",
"telephone_number": "443-889-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18616 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661734",
"telephone_number": "718-264-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "HESHAM",
"middle_name": "NABIL IBRAHIM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.