Active NPI
Nizar F Ibrahim, RPH
- Pharmacist
- Santa Barbara, CA
National Provider Identifier
1568020907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80298
- Practice address
- 3605 State St
Santa Barbara, CA 93105-2521 - Phone
- (805) 687-1376
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- Sex
- Male
- 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 | 80298 | CA | Primary |
Addresses
Primary practice location
3605 State St
Santa Barbara, CA 93105-2521
Mailing address
50 S Patterson Ave Apt 101
Santa Barbara, CA 93111-2013
Phone (805) 453-8801
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 |
|---|---|---|---|
| 80298 | CA | MD | Pharmacist |
Practice roles
Organizations & group practices 2
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": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1568020907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S PATTERSON AVE APT 101",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112013",
"telephone_number": "805-453-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931052521",
"telephone_number": "805-687-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "NIZAR",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.