Active NPI
Munavvara Binti Murusal Ibrahim, RPH
- Pharmacist
- Tarpon Springs, FL
National Provider Identifier
1497049530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39648
- Practice address
- 1992 S Pinellas Ave
Tarpon Springs, FL 34689-1942 - Phone
- (727) 938-6400
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS39648 | FL | Primary |
Addresses
Primary practice location
1992 S Pinellas Ave
Tarpon Springs, FL 34689-1942
Mailing address
PO Box 1732
Tarpon Springs, FL 34688-1732
Phone (407) 592-4290
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS39648 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annalice LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
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": []
}Other providers in Tarpon Springs, FL
- Amy Rachel Mosse
- Multi Abundance LLC (Multi Abundance Transportation)
- 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 (America's Best Contacts & Eyeglasses)
- Aaron Joseph Nauman, PTA
- Lori Neal
Sources for this page
- 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.