Active NPI
Al-Amir-Ibrahim Samir Sarsour, PHARMD
- Pharmacist
- Kinston, NC
National Provider Identifier
1902038540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20713
- Practice address
- 701 Plaza Blvd
Kinston, NC 28501-1515 - Phone
- (252) 522-4811
- Fax
- (252) 522-4828
- NPI assigned
- Aug 16, 2009
- 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 | 20713 | NC | Primary |
Addresses
Primary practice location
701 Plaza Blvd
Kinston, NC 28501-1515
Mailing address
701 Plaza Blvd
Kinston, NC 28501-1515
Phone (252) 522-4811
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20713 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kinston, NC
- NPI 1972602167
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250380800000",
"number": "1902038540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PLAZA BLVD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011515",
"telephone_number": "252-522-4811",
"fax_number": "252-522-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PLAZA BLVD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011515",
"telephone_number": "252-522-4811",
"fax_number": "252-522-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARSOUR",
"first_name": "AL-AMIR-IBRAHIM",
"middle_name": "SAMIR",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-16",
"last_updated": "2009-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.