Individual provider Active NPI

Pierre Mansor, PHARMD

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1174420848
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IO74394-01 Issued in NY
Practice address
2 Berry Ave W
Staten Island, NY 10312-1403
Phone
(347) 935-2192
NPI assigned
Oct 24, 2026
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IO74394-01 NY Primary

Addresses

Primary practice location

2 Berry Ave W
Staten Island, NY 10312-1403

Mailing address

2 Berry Ave W
Staten Island, NY 10312-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1174420848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERRY AVE W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BERRY AVE W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121403",
            "telephone_number": "347-935-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOR",
        "first_name": "PIERRE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "IO74394-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.