Mina Youssef
Individual provider Active NPI Pharmacist · South River, NJ
NPI 1669168233 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1669168233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04297700 (NJ)
- Practice address
- 54 Main St
South River, NJ 08882-1225 - Phone
- (732) 257-0069
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04297700 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04297700 | NJ | Yes |
Addresses
Primary practice location
54 Main St
South River, NJ 08882-1225
Mailing address
363 Cranbury Rd Apt B8
East Brunswick, NJ 08816-3048
Other providers in South River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.