Ahmad Ibrahim, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP446767 Issued in PA

Practice address

5214-30 Baltimore Ave
Philadelphia, PA 19143

Phone

(267) 474-5909

NPI assigned

Jul 11, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1164838082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 SAINT MALACHYS WAY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392857",
            "telephone_number": "267-474-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214-30 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19143",
            "telephone_number": "267-474-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMAD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "RP446767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iuliia Iashmolkina, MSW
• Adrian Enrique Ibanez
• Alvaro Ibaseta Fidalgo, MD
• Oby Ibe, MD
• Marine-Ayan Ibrahim Aibo, MD
• Asmaa Ibrahim, DPM
• George Ibrahim, MD
• George Adel Ibrahim, MD
• Ibrahim Ibrahim, DC
• John Sobhy Ibrahim, PHARM.D.

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.