Individual provider Active NPI

Ahmad Samir Sarsour, PHARMD

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1770036576
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03132245 Issued in OH
Practice address
5355 Boyd St
Toledo, OH 43615-2827
Phone
(989) 717-8090
NPI assigned
Jul 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03132245 OH Primary
Pharmacist 183500000X 5302041443 MI
Ambulatory Care Pharmacist 1835P2201X 03132245 OH
Ambulatory Care Pharmacist 1835P2201X 5302041443 MI

Addresses

Primary practice location

5355 Boyd St
Toledo, OH 43615-2827

Mailing address

5355 Boyd St
Toledo, OH 43615-2827
Phone (989) 717-8090

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

LicenseStateTypeSpecialty
5302041443MIMDAmbulatory Care Pharmacist
03132245OHMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1770036576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 BOYD ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152827",
            "telephone_number": "989-717-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 BOYD ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152827",
            "telephone_number": "989-717-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSOUR",
        "first_name": "AHMAD",
        "middle_name": "SAMIR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132245",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041443",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OH",
            "license": "03132245",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302041443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

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

Verify at the official NPI Registry.