Active NPI
Sarah Kamil Ibrahim
- Pharmacist
- San Diego, CA
National Provider Identifier
1225758360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86489
- Practice address
- 3345 Sports Arena Blvd
San Diego, CA 92110-4567 - Phone
- (619) 222-5818
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86489 | CA | Primary |
Addresses
Primary practice location
3345 Sports Arena Blvd
San Diego, CA 92110-4567
Mailing address
1453 Gustavo St
El Cajon, CA 92019-3219
Phone (619) 808-5882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86489 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Current | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Locations
5500 Grossmont Center Dr
Bldg P
La Mesa, CA 91942
Phone (619) 462-9592
Organizations & group practices 2
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.
-
- Pharmacy
- La Mesa, CA
- NPI 1780627042
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1225758360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 GUSTAVO ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193219",
"telephone_number": "619-808-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 SPORTS ARENA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104567",
"telephone_number": "619-222-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "SARAH",
"middle_name": "KAMIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.