MANSOUR SHABAZZ PHARMD
NPI 1508528159
Pharmacist in Jackson, MS

Active since October 12, 2021
977 ELLIS AVE, JACKSON, MS 39209(601) 944-9965 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mansour Shabazz Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANSOUR SHABAZZ PHARMD (NPI 1508528159) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (T-15998) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1508528159
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMANSOUR SHABAZZCredential: PHARMD
Location Address977 ELLIS AVEJackson, MS 39209-6256
Mailing Address977 Ellis AveJackson, MS 39209-6256 · (601) 944-9965
Sole ProprietorNo
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
NPI 1508528159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · T-15998
Definition
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.
977 ELLIS AVE, Jackson, MS 39209

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
977 ELLIS AVE
JACKSON, MS 39209
Pharmacist
977 ELLIS AVE
JACKSON, MS 39209
Pharmacist (Ambulatory Care)
977 ELLIS AVE
JACKSON, MS 39209
Pharmacy
977 ELLIS AVE
JACKSON, MS 39209
Pharmacist
977 ELLIS AVE
JACKSON, MS 39209
Pharmacist
977 ELLIS AVE
JACKSON, MS 39209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansour Shabazz's NPI number?

The NPI number for Mansour Shabazz is 1508528159. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Mansour Shabazz located?

Mansour Shabazz practices at 977 Ellis Ave, Jackson, MS 39209. The listed phone number is (601) 944-9965.

What is Mansour Shabazz's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mansour Shabazz was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.