Muhammad Ibrahim, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

19699-40 Issued in WI

Practice address

W63N152 Washington Ave
Cedarburg, WI 53012-2725

Phone

(262) 377-6090

NPI assigned

Mar 25, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Cedarburg, WI
  • NPI 1528009495
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1316574841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4659 DOBSON ST APT 2C",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763773",
            "telephone_number": "512-409-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W63N152 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122725",
            "telephone_number": "262-377-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MUHAMMAD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19699-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Heppe, M.S.
• Gregory G Highstrom, DC
• Rayne Elizabeth Holmson
• Hope'S Chariot, Inc.
• Megan Hucko
• Ideal Physical Therapy LLC
• Daniel Jablonski, MD
• Therese L. Jaeckle, MSN, APNP
• Jaime D. Cabatingan, M.D.,S.C.
• Jaime D. Cabatingan, M.D.,S.C.

• Pharmacist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.