Ibrahim Dabaja

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302039254 Issued in MI

Practice address

316 N Drake Rd
Kalamazoo, MI 49009-1106

Phone

(269) 888-4488

NPI assigned

Jun 8, 2017

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 2

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437688959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091106",
            "telephone_number": "269-888-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091106",
            "telephone_number": "269-888-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302039254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS-PHARMACIST",
            "identifier": "5302039254",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN BOARD OF PHARMACY",
            "identifier": "5302039254",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A D'Ambrosio, M.D.
• Elizabeth Ann D'Angelo, NP-C
• D&a Dissolving, Inc.
• D&D Companions, LLC
• D2 Dental of Michigan, P.C.
• Michael Dabaja
• Riad Dabaja, PHARM D
• Dwane Dabney, MA
• Jonathan Ross Dadurian, MD
• Donald Edwin Daenzer, D.D.S.

• Pharmacotherapy Pharmacist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.