Individual provider Active NPI

Tarek Al Nassif

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1114238508
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S016374 Issued in AZ
Practice address
2480 N Swan Rd
Tucson, AZ 85712-5701
Phone
(520) 327-7016
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
S016374AZMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S016374 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

2480 N Swan Rd
Tucson, AZ 85712-5701

Mailing address

3325 N River Rapids Dr
Tucson, AZ 85712-6661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2010.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1114238508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N RIVER RAPIDS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125701",
            "telephone_number": "520-327-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL NASSIF",
        "first_name": "TAREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.