Hanaa Ibrahim

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

044736 Issued in NY

Practice address

9 Monticello Dr
Shoreham, NY 11786-2046

Phone

(631) 678-8729

NPI assigned

Aug 10, 2014

Last updated

Aug 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1437568896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONTICELLO DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862046",
            "telephone_number": "631-678-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONTICELLO DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862046",
            "telephone_number": "631-678-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "HANAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "044736",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "11-20018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Richard Hoeg Jr., DMD
• Paige Marie Hoffman
• Eric Hoffmann, M.D.
• Elizabeth A Honold, LPN
• Chet Hughes, NP
• Ihab Ibrahim, PHARMD
• Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP
• Jillian O. Jablonski, R.N.
• Jar Medical Systems, Inc.
• Jeffrey Kraushaar

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.