Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588398598 Individual Practitioner Male Practitioner

Mansour Fareed Abdulky

Pharmacist • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Mansour Abdulky is a registered healthcare professional specializing in Pharmacist in Ithaca, NY. Practice services are available at 101 DATES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Dates Dr

Ithaca, NY 148501342

Telephone 6072744385
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ithaca, NY

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

Practicing in Ithaca, NY (23779 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: 2022-07-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 062913

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04463609 (NY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Paul Jones , PA-C

Physician Assistant

NPI 1013008457

Physician Assistant (Certified)

Dr. Keith Lambert , MD

Emergency Medicine

NPI 1023469764

Doctor of Medicine (M.D.)

Dr. Anthony Sanito , MD

Anesthesiology - Pain Medicine

NPI 1033189931

Doctor of Medicine (M.D.)

Karen Henry , OTR, L

Occupational Therapist

NPI 1033478177

Occupational Therapist Registered, L

Dr. No Name Given Erum , MD

Psychiatry & Neurology - Psychiatry

NPI 1033644406

Doctor of Medicine (M.D.)

Suzanne Dozoretz , NP, RNFA

Nurse Practitioner - Family

NPI 1033744891

Nurse Practitioner, RNFA

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2022

Registered at 101 DATES DR, ITHACA, NY 148501342 (Tel: 6072744385)

📍
Updated Business Mailing Address July 14, 2022

Registered at 101 DATES DR, ITHACA, NY 148501342 (Tel: 6072744385)

👤
Provider Name / Credentials Updated July 14, 2022

Recorded as MANSOUR ABDULKY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2022

Pharmacist (License #062913 in NY)

🟢
Initial NPI Registration & Enumeration July 14, 2022

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: 1588398598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2022
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

101 Dates Dr

Ithaca, NY 148501342

Phone: 6072744385

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.