Active NPI
Pharmacy of America IX Inc
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1487343943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PHARMACY OF AMERICA IX INC
- Practice address
- 1000 Cottman Ave
Philadelphia, PA 19111-3644 - Phone
- (267) 237-1188
- NPI assigned
- May 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sabri Ibrahim, PHARM D.
- Title
- President & Ceo
- Phone
- (267) 237-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1000 Cottman Ave
Philadelphia, PA 19111-3644
Mailing address
4654 N 5TH St
Philadelphia, PA 19140-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240727000309 | PA | Part B Supplier - Pharmacy | 6608312582 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
1000 Cottman Ave
Philadelphia, PA 19111
Phone (215) 770-7869
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1427823053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1487343943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4654 N 5TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113644",
"telephone_number": "267-237-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY OF AMERICA IX INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "SABRI",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "267-237-1188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.