Noura Mohamed Ibrahim Elebiary

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH89377 Issued in CA

Practice address

1005 Sutton Way
Grass Valley, CA 95945-5182

Phone

(530) 272-8881

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Longs Drug Stores California LLC

  • Pharmacy
  • Grass Valley, CA
  • NPI 1679516421
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1093560294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 DURDEN CT",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959499266",
            "telephone_number": "530-887-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SUTTON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455182",
            "telephone_number": "530-272-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEBIARY",
        "first_name": "NOURA",
        "middle_name": "MOHAMED IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH89377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edelweiss Holdings, LLC
• Amy Edgett
• Amanda Edwards
• Kara Eggert
• Kayla Eiermann
• Kimberly A Elliott, FNP
• Robert Andrew Elliott
• Kathy Jean Ellis, LMFT
• Wladislaw V Ellis, M.D.
• Elwood Paul Reid MD Inc

• Pharmacist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.