Active NPI
Ibrahim A Abdelwahab, PHARM.D
- Pharmacist
- Gretna, LA
National Provider Identifier
1013785427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025103
- Practice address
- 2001 Carol Sue Ave
Gretna, LA 70056-4445 - Phone
- (504) 366-1535
- NPI assigned
- Dec 14, 2023
- Last updated
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025103 | LA | Primary |
Addresses
Primary practice location
2001 Carol Sue Ave
Gretna, LA 70056-4445
Mailing address
2041 Titan St
Harvey, LA 70058-2957
Phone (504) 881-5734
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025103 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2001 Carol Sue Ave
Gretna, LA 70056
Phone (504) 366-1535
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1013785427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 TITAN ST",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582957",
"telephone_number": "504-881-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CAROL SUE AVE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564445",
"telephone_number": "504-366-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELWAHAB",
"first_name": "IBRAHIM",
"middle_name": "A",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "025103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
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- A1 Customized Companion Services LLC.
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- Able Life Care Services, Inc
- Able Life Care Services, Inc.
- Able Life Care Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.