Active NPI
Mary Saniout Abdelnour
- Pharmacist
- Lemoore, CA
National Provider Identifier
1891276010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76009
- Practice address
- 12 W Hanford Armona Rd
Lemoore, CA 93245-2320 - Phone
- (559) 925-6510
- NPI assigned
- Aug 25, 2018
- Last updated
- Aug 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76009 | CA | Primary |
Addresses
Primary practice location
12 W Hanford Armona Rd
Lemoore, CA 93245-2320
Mailing address
12 W Hanford Armona Rd
Lemoore, CA 93245-2320
Phone (559) 925-6510
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 |
|---|---|---|---|
| 76009 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1891276010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W HANFORD ARMONA RD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452320",
"telephone_number": "559-925-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W HANFORD ARMONA RD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452320",
"telephone_number": "559-925-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELNOUR",
"first_name": "MARY",
"middle_name": "SANIOUT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-25",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.