Active NPI
Esra Nusseibeh, PHARMD
- Pharmacist
- Mason City, IA
National Provider Identifier
1447855135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24701
- Practice address
- 3450 4TH St SW
Mason City, IA 50401-1501 - Phone
- (641) 423-1325
- NPI assigned
- Dec 1, 2020
- Last updated
- May 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123602 | MN | |
| Pharmacist | 183500000X | 24701 | IA | Primary |
Addresses
Primary practice location
3450 4TH St SW
Mason City, IA 50401-1501
Mailing address
3450 4TH St SW
Mason City, IA 50401-1501
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24701 | IA | MD | Pharmacist |
| 123602 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1447855135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504011501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504011501",
"telephone_number": "641-423-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSEIBEH",
"first_name": "ESRA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123602",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.