Altaf Mansuri, PHARM D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28RI03289300 Issued in NJ

Practice address

129 Somerset St
Somerville, NJ 08876-2814

Phone

(908) 725-8259

NPI assigned

Sep 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Eastern Co, Inc

  • Pharmacy
  • Somerville, NJ
  • NPI 1346255320
  NPD (past)
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1184907529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALTAMONT RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174025",
            "telephone_number": "732-910-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SOMERSET ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762814",
            "telephone_number": "908-725-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSURI",
        "first_name": "ALTAF",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI03289300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RI03289300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Maher
• Charles Robert Mahoney, DNP, APN, RN
• Marianne Malanaphy, MSW, LCSW, PMH-C
• Apurva Mallampati, MD
• Alison Mann, LMSW
• Christopher Marchese, D.C.
• Marg Pharmacy Inc
• Amanda Marino, MD
• Martin H Cornick Professional Association
• Marvin Skowronek, DDS, PA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.