Mohammed Ibrahim, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302037256 Issued in MI

Practice address

820 S Pemberton Rd
Bloomfield, MI 48302-1443

Phone

(313) 467-0264

NPI assigned

Jun 10, 2010

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Pure Life Pharmacy LLC

  • Community/Retail Pharmacy
  • Lincoln Park, MI
  • NPI 1629961297
  NPD Authorized official
• Purepoint Pharmacy LLC

  • Community/Retail Pharmacy
  • Oak Park, MI
  • NPI 1669011524
  Authorized official Same address or phone

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1093035164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S PEMBERTON RD",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483021443",
            "telephone_number": "313-467-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S PEMBERTON RD",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483021443",
            "telephone_number": "313-467-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOHAMMED",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Govila, MD
• Miriam Halprin, LMSW
• Danielle Harfoot, PA-C
• Daniel Herman, DC
• Joy Hopson
• Inner Man Wellness and Support Services
• International Medical Clinic PLLC
• James S. Brooks, MD, PLLC
• Joyful Journey's Living and Care LCC
• Kayla Kane, FNP-C

• Pharmacist in Bloomfield, MI
• Providers in Bloomfield, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.