Active NPI
Habib Mario Abraham, PHARMD
- Managed Care Organization Pharmacy
- Cincinnati, OH
National Provider Identifier
1205581337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Managed Care Organization Pharmacy
- License
- 03230596
- Practice address
- 1701 Mercy Health PL
Cincinnati, OH 45237-6147 - Phone
- (513) 952-4443
- NPI assigned
- Feb 17, 2022
- Last updated
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | 03230596 | OH | Primary |
Addresses
Primary practice location
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Mailing address
7754 Albright CT
Mason, OH 45040-8886
Phone (513) 884-2242
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 |
|---|---|---|---|
| 03230596 | OH | MD | Managed Care Organization Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1205581337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7754 ALBRIGHT CT",
"city": "MASON",
"state": "OH",
"postal_code": "450408886",
"telephone_number": "513-884-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 MERCY HEALTH PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452376147",
"telephone_number": "513-952-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "HABIB",
"middle_name": "MARIO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": "OH",
"license": "03230596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.