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

Mansour Shabazz, PHARMD

Individual provider Pharmacist · NPI 1508528159

Mansour Shabazz, PHARMD is a Pharmacist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

977 Ellis Ave
Jackson, MS 39209-6256
Phone: (601) 944-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence T-15998 (MS)

Record details

NPI number1508528159
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021
Mailing address977 Ellis Ave, Jackson, MS 39209-6256

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