Ibrahim Sylla

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26936 Issued in TX

Legal business name

IBRAHIM SYLLA

Practice address

11811 Fallbrooks Dr, Ste B1
Houston, TX 77065

Phone

(832) 478-5771

Fax

(832) 604-6264

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Ibrahim Sylla

Title

Pharmacist/Owner

Phone

(713) 578-0599

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AKO Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1013237429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FALLBROOK DR, STE B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-704-6489",
            "fax_number": "281-890-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FALLBROOKS DR, STE B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "832-478-5771",
            "fax_number": "832-604-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM SYLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SYLLA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "713-578-0599"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146177",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKO Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ibn Sina Community Clinic Pharmacy
• Ibn Sina Foundation
• Ibn Sina Foundation
• Nashaat Botrous Ibraheim, MD
• Ibrahim Garcia-Mowatt M.D., P.a.
• Ahmed Ibrahim, M.D.
• Aisha Ibrahim
• Amal Mohamed Moustafa Ibrahim I, MD
• Danny Ibrahim
• Grace Ibrahim

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.