Omar Mitoubsi

Primary specialty

PharmacistTaxonomy code 183500000X

License

46356 Issued in TN

Practice address

2223 8TH Ave S
Nashville, TN 37204-2205

Phone

(615) 514-5722

NPI assigned

Jun 16, 2022

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

Practice roles

Locations

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.

• Publix Tennessee, LLC

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1730727843
  NPD
• Publix Tennessee, LLC

  • Community/Retail Pharmacy
  • Farragut, TN
  • NPI 1639042229
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1376273797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 8TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 8TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042205",
            "telephone_number": "615-514-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITOUBSI",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "46356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Publix.org",
            "affiliation": "N",
            "address_1": "2223 8th Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372042205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Mitchell
• Victoria Mitchell
• William Mitchell, MD
• Sharon D Mitchhart, LPN
• Tia S Mitchner, FNP
• Graham Benson Mitro
• Shilpi Mittal, MD
• Erica Mittlebeeler, APRN
• Aleksandra Nicole Miucin, M.D.
• Amanda Salanitro Mixon, M.D.

• Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.