Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508528159 Individual Practitioner Male Practitioner

Dr. Mansour Shabazz , PharmD

Pharmacist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Mansour Shabazz, PharmD is a registered healthcare professional specializing in Pharmacist in Jackson, MS. Practice services are available at 977 ELLIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

977 Ellis Ave

Jackson, MS 392096256

Telephone 6019449965
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1649285800

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
227 Specialists

Practicing in Jackson, MS (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS T-15998

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Ceil Dixon

Pharmacist

NPI 1053681569
NPI 1396350971

Doctor of Pharmacy (Pharm.D.)

Dwayne Mennefield , RPH

Pharmacist - Ambulatory Care

NPI 1407560212

Registered Pharmacist

NPI 1902176829

Doctor of Pharmacy (Pharm.D.)

NPI 1902418072

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2021

Registered at 977 ELLIS AVE, JACKSON, MS 392096256 (Tel: 6019449965)

📍
Updated Business Mailing Address October 12, 2021

Registered at 977 ELLIS AVE, JACKSON, MS 392096256 (Tel: 6019449965)

👤
Provider Name / Credentials Updated October 12, 2021

Recorded as MANSOUR SHABAZZ, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Pharmacist (License #T-15998 in MS)

🟢
Initial NPI Registration & Enumeration October 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508528159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2021
Last Update: October 12, 2021
Sole Proprietor: No

Mailing Address

977 Ellis Ave

Jackson, MS 392096256

Phone: 6019449965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.