Individual provider Active NPI

Michael H Ghobrial, R.PH., ESQ.

  • Pharmacist
  • Washington, DC
National Provider Identifier
1063643765
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23612 Issued in MD
Practice address
300 New Jersey Ave NW Ste 600
Washington, DC 20001-2267
Phone
(202) 383-7992
Fax
(202) 383-7999
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053567 NY
Pharmacist 183500000X 051294560 IL
Pharmacist 183500000X 0202212511 VA
Pharmacist 183500000X PH100002199 DC
Pharmacist 183500000X 23612 MD Primary

Addresses

Primary practice location

300 New Jersey Ave NW Ste 600
Washington, DC 20001-2267

Mailing address

300 New Jersey Ave NW Ste 600
Washington, DC 20001-2267
Phone (202) 383-7992

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
053567NYMDPeriodontist
PH100002199DCMDPharmacist
051294560ILMDPharmacist
23612MDMDPharmacist
0202212511VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1063643765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW JERSEY AVE NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012267",
            "telephone_number": "202-383-7992",
            "fax_number": "202-383-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW JERSEY AVE NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012267",
            "telephone_number": "202-383-7992",
            "fax_number": "202-383-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "R.PH., ESQ.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053567",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294560",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212511",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100002199",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.