Active NPI
Hussein Mansour
- Pharmacist
- Allen Park, MI
National Provider Identifier
1629426861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302040862
- Practice address
- 3565 Fairlane Dr
Allen Park, MI 48101-2876 - Phone
- (313) 686-8666
- NPI assigned
- May 27, 2016
- Last updated
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302040862 | MI | Primary |
Addresses
Primary practice location
3565 Fairlane Dr
Allen Park, MI 48101-2876
Mailing address
3565 Fairlane Dr
Allen Park, MI 48101-2876
Phone (313) 686-8666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040862 | MI | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1629426861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 FAIRLANE DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012876",
"telephone_number": "313-686-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 FAIRLANE DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012876",
"telephone_number": "313-686-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "HUSSEIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.