Active NPI
Ihab Fanous
- Pharmacist
- New Castle, DE
National Provider Identifier
1821752254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0015731
- Practice address
- 27 Antioch CT
New Castle, DE 19720-3704 - Phone
- (302) 332-3128
- NPI assigned
- Oct 21, 2021
- 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 | A1-0015731 | DE | Primary |
Addresses
Primary practice location
27 Antioch CT
New Castle, DE 19720-3704
Mailing address
27 Antioch CT
New Castle, DE 19720-3704
Phone (302) 332-3128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1765704 | Other | DE | DRIVER LICENCE |
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 |
|---|---|---|---|
| A1-0015731 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1821752254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ANTIOCH CT",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203704",
"telephone_number": "302-332-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ANTIOCH CT",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203704",
"telephone_number": "302-332-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANOUS",
"first_name": "IHAB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0015731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENCE",
"identifier": "1765704",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.