Active NPI
Sherry Mounir Sobhy Ibrahim
- Pharmacist
- Fontana, CA
National Provider Identifier
1508645631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88414
- Practice address
- 9961 Sierra Ave
Fontana, CA 92335-6720 - Phone
- (833) 574-2273
- NPI assigned
- Sep 27, 2023
- 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 | 88414 | CA | Primary |
Addresses
Primary practice location
9961 Sierra Ave
Fontana, CA 92335-6720
Mailing address
11571 Streampoint Dr
Riverside, CA 92505-3474
Phone (909) 610-0624
Other practice location 1
2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (833) 574-2273
Other practice location 2
17284 Slover Ave
Fontana, CA 92337-7584
Phone (909) 427-3000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1508645631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11571 STREAMPOINT DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053474",
"telephone_number": "909-610-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9961 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923356720",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [
{
"address_1": "2295 S Vineyard Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917617925",
"country_code": "US",
"telephone_number": "833-574-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17284 Slover Ave",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923377584",
"country_code": "US",
"telephone_number": "909-427-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "SHERRY",
"middle_name": "MOUNIR SOBHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.