Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Stephen Mansour

Individual provider Pharmacist · NPI 1669339693

Jonathan Stephen Mansour is a Pharmacist in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

49857 Split Rock Rd
Macomb, MI 48044-1586
Phone: (248) 320-1170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302038962 (MI)

Record details

NPI number1669339693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address49857 Split Rock Rd, Macomb, MI 48044-1586

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