Abdulkadir Harir Ibrahim, PHARM, D/MPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

71612RPH Issued in CA

Practice address

1 Quality Drive, Mob-B 1St FLR
24 HRS Pharmacy
Vacaville, CA 95688

Phone

(707) 624-2506

Fax

(707) 624-3057

NPI assigned

Nov 30, 2016

Last updated

Nov 24, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Community Pharmacy

  • Community/Retail Pharmacy
  • Decatur, GA
  • NPI 1033844220
  NPD Authorized official

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1437692043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 QUALITY DRIVE, MOB-B 1ST FLR",
            "address_2": "24 HOURS PHARMACY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95688",
            "telephone_number": "707-624-2506",
            "fax_number": "707-624-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUALITY DRIVE, MOB-B 1ST FLR",
            "address_2": "24 HRS PHARMACY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95688",
            "telephone_number": "707-624-2506",
            "fax_number": "707-624-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ABDULKADIR",
        "middle_name": "HARIR",
        "name_prefix": "Mr.",
        "credential": "PHARM, D/MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71612RPH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1 Quality Drive, MOB-B 1st Flr",
            "address_2": "24 HRS Pharmacy",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.