Ibss Corp

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

IBSS CORP

Doing business as

IBSS Corp

Practice address

1110 Bonifant St Ste 501
Silver Spring, MD 20910-3358

Phone

(301) 675-8740

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Reza Vafa, PHARM.DNPI 1255591723

Title

Program Manager

Phone

(301) 675-8740

Specialties & licenses 1

Addresses

Other names 1

• IBSS Corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reza Vafa, PHARM.D

  • Pharmacist
  • Silver Spring, MD
  • NPI 1255591723
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1487384384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BONIFANT ST STE 501",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103358",
            "telephone_number": "301-675-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BONIFANT ST STE 501",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103358",
            "telephone_number": "301-675-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBSS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "VAFA",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "301-675-8740",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBSS Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ibis Community Services LLC
• Idara Ibok, NP
• Adel Ibrahim, O.D.
• Ashley Ibrahim
• Homam Ibrahim, MD
• Ican OT, L.L.C.
• Ongisa Ichile-McKenzie
• Zuwena Mohamed Iddi
• Folashade Omowunmi Idowu
• Chinyere I Ifechukwu

• Clinic Pharmacy in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinic Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.