Individual provider Active NPI

Sherif Ibrahim

  • Pharmacist
  • Jersey City, NJ
National Provider Identifier
1457922189
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04175800 Issued in NJ
Practice address
437 Central Ave # 1
Jersey City, NJ 07307-2729
Phone
(347) 512-3629
NPI assigned
Jul 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04175800 NJ Primary

Addresses

Primary practice location

437 Central Ave # 1
Jersey City, NJ 07307-2729

Mailing address

184 Lovelace Ave
Staten Island, NY 10312-3208

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myhomeaddress

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

LicenseStateTypeSpecialty
28RI04175800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1457922189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 LOVELACE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 CENTRAL AVE # 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072729",
            "telephone_number": "347-512-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SHERIF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04175800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myhomeaddress",
            "affiliation": "N",
            "address_1": "184 Lovelace Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103123208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.