Medhat Mansour

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS47198 Issued in FL

Practice address

35404 US 19 N
Palm Harbor, FL 34684-1738

Phone

(727) 784-8897

Fax

(727) 784-8913

NPI assigned

Nov 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Palm Harbor, FL
  • NPI 1497772875
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1235774746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35404 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841738",
            "telephone_number": "727-784-8897",
            "fax_number": "727-784-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35404 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841738",
            "telephone_number": "727-784-8897",
            "fax_number": "727-784-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MEDHAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35404 US 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manning & Resovsky Inc
• Manning & Resovsky, Inc.
• Lauren Manning, DC, MS
• Manor Care of Palm Harbor FL LLC
• Katherine Manrique, M.S., CCC-SLP
• Margaret Bagwell Marante, R.N.
• Michelle Margerum, APRN
• Marianalynn Helping Hands Corp
• Christine Marino, DMD
• Philip Anthony Marino, D.D.S.

• Pharmacist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.