Individual provider Active NPI

Aml Ibrahim Fawzy

  • Community/Retail Pharmacy
  • Trenton, NJ
National Provider Identifier
1003479577
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RI03935900 Issued in NJ
Practice address
2108 S Broad St
Trenton, NJ 08610-5502
Phone
(609) 888-1616
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RI03935900 NJ Primary

Addresses

Primary practice location

2108 S Broad St
Trenton, NJ 08610-5502

Mailing address

26 Chadwick CT
Robbinsville, NJ 08691-3043

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL aml_ibrahim86@live.com
Other URL aml_ibrahim86@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI03935900NJMDCommunity/Retail Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1003479577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHADWICK CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086105502",
            "telephone_number": "609-888-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "AML",
        "middle_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RI03935900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aml_ibrahim86@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "26 Chadwick Ct",
            "city": "Robbinsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086913043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aml_ibrahim86@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "26 Chadwick Ct",
            "city": "Robbinsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086913043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.