Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801682059 Individual Practitioner Female Practitioner

Mariam Mansour

Pharmacist • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Mariam Mansour is a registered healthcare professional specializing in Pharmacist in Pewaukee, WI. Practice services are available at N51W24953 LISBON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N51w24953 Lisbon Rd

Pewaukee, WI 530721403

Telephone 2629322500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Pewaukee, WI (5503 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: 2025-11-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 21546-40

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

3 Associated Practitioners
Amanda Hoffman , APNP

Nurse Practitioner

NPI 1063907699

Advanced Practice Nurse Prescriber

Stacey Roebken , FNP-C

Nurse Practitioner - Family

NPI 1376146472

Family Nurse Practitioner (Certified)

NPI 1811340185

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 30, 2025

Registered at N51W24953 LISBON RD, PEWAUKEE, WI 530721403 (Tel: 2629322500)

📍
Updated Business Mailing Address November 30, 2025

Registered at N51W24953 LISBON RD, PEWAUKEE, WI 530721403

NPI Profile Active April 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2025

Registered at 2275 N MAYFAIR RD, WAUWATOSA, WI 532262207 (Tel: 4147482553)

📍
Updated Business Mailing Address April 17, 2025

Registered at 2275 N MAYFAIR RD, WAUWATOSA, WI 532262207

👤
Provider Name / Credentials Updated April 17, 2025

Recorded as MARIAM MANSOUR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Pharmacist (License #21546-40 in WI)

🟢
Initial NPI Registration & Enumeration April 15, 2025

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: 1801682059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2025
Last Update: November 30, 2025
Sole Proprietor: Yes

Mailing Address

N51w24953 Lisbon Rd

Pewaukee, WI 530721403

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.