MANSOOR KHAN (NPI# 1992090559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992090559 |
| Entity Type | Individual |
| Full Name | MANSOOR KHAN |
| Credential | PHARM. D. |
| Practice Address |
51400 Gratiot Ave T-0945 Chesterfield MI 48051-2007 |
| Practice Telephone | 5865984770 |
| Practice Fax Number | 5865984770 |
| Mailing Telephone | 5865984770 |
| Mailing Fax Number | 5865984770 |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302038025 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825176 | Mansoor Irshad Khan | Dentist | 1573 Saxon Blvd Ste 100&101, Deltona, FL 32725-5833 | 2011-05-10 |
| 1114148053 | Mansoor Khan | Chiropractor | 4402 Vance Jackson Rd Ste 112, San Antonio, TX 78230-5333 | 2007-05-01 |
| 1053490920 | Mansoor Khan | Internal Medicine | 800 Biesterfield Rd # 407, Elk Grove Village, IL 60007-3311 | 2006-11-03 |
| 1679542914 | Mansoor A Khan | Internal Medicine | 501 N 6th Ave, Hopewell, VA 23860-2618 | 2006-03-17 |
| 1518245737 | Mansoor A Khan | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1544 | 2011-07-22 |
| 1346565363 | Mansoor T Khan | Radiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2010-04-01 |
| 1104081900 | Mansoor A Khan | Family Medicine | 9217 101st Ave, Ozone Park, NY 11416-2316 | 2008-07-22 |
| 1497937890 | Mansoor A Khan | Physical Medicine & Rehabilitation | 4411 Washington Ave, Suite 100, Evansville, IN 47714-0890 | 2007-11-28 |
| 1114067667 | Mansoor A. Khan | Emergency Medicine | 224 Hamburg Tpke, Wayne General Hospital, Wayne, NJ 07470-2111 | 2007-02-07 |
| Street Address |
51400 GRATIOT AVE T-0945 |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48051-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194747865 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 51400 Gratiot Ave, Chesterfield, MI 48051-2007 | 2006-07-24 |
| 1710517024 | Maria Thomas Benjamin | Pharmacist | 51400 Gratiot Ave, Chesterfield, MI 48051-2007 | 2020-01-26 |
| 1770962367 | Joshua Ghiringhelli | Pharmacist | 51400 Gratiot Ave, Chesterfield, MI 48051-2007 | 2015-05-28 |
| 1700295292 | Salma Ibrahim | Pharmacist | 51400 Gratiot Ave, Chesterfield, MI 48051-2007 | 2014-08-08 |
| 1093084261 | Nicole Furtah | Pharmacist | 51400 Gratiot Ave, Chesterfield, MI 48051-2007 | 2011-12-18 |
| 1598052367 | Kim Rickard | Pharmacist | 51400 Gratiot Ave, T-0945, Chesterfield, MI 48051-2007 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139877 | Courtney Lynn Wittfeldt | Nurse Practitioner | 48833 Shady Glen Dr, Chesterfield, MI 48051 | 2017-08-14 |
| 1477082972 | Kathryn Louise Bruhns Zemke | Behavior Technician | 53869 Connor Drive, Chesterfield, MI 48051 | 2017-06-08 |
| 1417352055 | Julie Yaroch | Counselor | 51629 Hale Lane, Chesterfield Twp., MI 48051 | 2014-10-24 |
| 1437579661 | Jennifer Groeneveld | Physical Therapist | 34095 23 Mile Road, Chesterfield, MI 48051 | 2014-04-28 |
| 1376874396 | Donna Sue Perkins | Counselor | 50630 Chesterfield Road, Chesterfield, MI 48051 | 2010-01-15 |
| 1134267016 | Gary Main Burnett | Counselor | 46360 Gratiot Ave., Chesterfield, MI 48051 | 2007-02-02 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1447228168 | Stephanie Lynn Denner | Occupational Therapist | 47085 Gratiot, Ceterfield, MI 48051 | 2006-03-09 |
| 1821077827 | Kathleen Marie-sohn Kudzia | Counselor | 46360 Gratiot, Chesterfield, MI 48051 | 2006-01-10 |
| 1366904708 | Tmj & Sleep Therapy Centre of Macomb County, Pllc | Dentist | 50475 Gratiot, Suite 4, Chesterfield, MI 48051 | 2019-04-04 |
| Find all providers in zip 48051 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840990 | Meredith Kirn | Pharmacist | 111 Saint Lukes Center Dr # 42b, Chesterfield, MO 63017-3509 | 2020-08-07 |
| 1093233140 | Behnaz Sarrami | Pharmacist | 6 Monarch Trace Ct Apt 306, Chesterfield, MO 63017-4620 | 2017-09-08 |
| 1518482645 | Harikrishna Surapaneni | Pharmacist | 17 Downer Way, Chesterfield, NJ 08515-2925 | 2017-08-09 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1497094387 | Bryan J Micklevitz | Pharmacist | 16690 Swingley Ridge Rd, Chesterfield, MO 63017-0758 | 2013-02-12 |
| 1093087140 | Julie Ellen Luning | Pharmacist | 2048 Honey Ridge Ct, Chesterfield, MO 63017-7602 | 2012-02-06 |
| 1740559731 | Rick Hedrick | Pharmacist | 50338 Oakview Dr, Chesterfield, MI 48047-1891 | 2011-12-20 |
| 1649547894 | John Howard Garrett II | Pharmacist | 8542 Brechin Ln, Chesterfield, VA 23838-5173 | 2011-11-16 |
| 1659658086 | Melinda Karole Russell | Pharmacist | 5 Cypress Point Ct, Chesterfield, MO 63017-3202 | 2011-11-14 |
| 1629354501 | Molly Ann Pate | Pharmacist | 940 Peach Hill Ln, Apt 601, Chesterfield, MO 63017-6001 | 2011-10-24 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48051 |
Please comment or provide details below to improve the information on MANSOOR KHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.