Munavvara Binti Murusal Ibrahim, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39648 Issued in FL

Practice address

1992 S Pinellas Ave
Tarpon Springs, FL 34689-1942

Phone

(727) 938-6400

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Annalice LLC

  • Community/Retail Pharmacy
  • Tarpon Springs, FL
  • NPI 1649593179
  NPD (past)

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1497049530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1732",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346881732",
            "telephone_number": "407-592-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891942",
            "telephone_number": "727-938-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURUSAL IBRAHIM",
        "first_name": "MUNAVVARA",
        "middle_name": "BINTI",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rachel Mosse
• Multi Abundance LLC
• Scott Boswell Munger, PHARMD
• Bethany Renee Murphy, COUNSELOR A.S.
• Kenneth Robert Murphy, O.D.
• Jeanne Ellen Naeger
• Pamela Margaret Napp, CD, PCD (DONA)
• National Vision Inc
• Aaron Joseph Nauman, PTA
• Lori Neal

• Pharmacist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.