Individual provider Active NPI

Mina Abouseif

  • Pharmacist
  • Suffern, NY
National Provider Identifier
1316696362
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068814 Issued in NY
Practice address
209 Route 59
Suffern, NY 10901-5203
Phone
(845) 369-1179
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
068814NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jan 22, 2023 Accepting new patients
Walgreen Co PastSince Jan 22, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068814 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

209 Route 59
Suffern, NY 10901-5203

Mailing address

209 Route 59
Suffern, NY 10901-5203
Phone (845) 369-1179

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2023.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1316696362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015203",
            "telephone_number": "845-369-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015203",
            "telephone_number": "845-369-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUSEIF",
        "first_name": "MINA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.