Kerolos Ibrahim, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PSI59545 Issued in FL

Practice address

1220 S Tamiami TRL
Osprey, FL 34229

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC.

  dba CVS Pharmacy# 03126

  • Pharmacy
  • Osprey, FL
  • NPI 1407950397
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1497358477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299692",
            "telephone_number": "941-966-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "34229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Osprey",
            "state": "FL",
            "postal_code": "342299692",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Osprey",
            "state": "FL",
            "postal_code": "342299692",
            "country_code": "US",
            "telephone_number": "941-966-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Osprey",
            "state": "FL",
            "postal_code": "342299692",
            "country_code": "US",
            "telephone_number": "941-966-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "KEROLOS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI59545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Hamad, MD
• Ramona Lee Hermansa, RSA, CSA
• Stacie Margaret Herrera, PSY. D.
• Kaitlin Hightower, DMD
• Holiday CVS LLC. (CVS Pharmacy# 03126)
• Icon Medical, PLLC
• Jai Grewal MD PLLC (Clear Thought Neurology)
• John a Sisti OD PA
• Zachary F Kesling, DDS
• Alan D King, DO

• Pharmacist in Osprey, FL
• Providers in Osprey, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.