Janet Ibrahim

Primary specialty

PharmacistTaxonomy code 183500000X

License

12257 Issued in SC

Practice address

5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836

Phone

(843) 742-5243

NPI assigned

Dec 6, 2014

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

State licenses

Practice roles

Locations

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.

• Health and Wellness Pharmacy LLC

  • Community/Retail Pharmacy
  • Myrtle Beach, SC
  • NPI 1215335336
  NPD Authorized official
• Health and Wellness Pharmacy LLC

  • Long Term Care Pharmacy
  • Myrtle Beach, SC
  • NPI 1639977291
  NPD Authorized official

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1588062608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 WATERTON AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795125",
            "telephone_number": "843-742-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886836",
            "telephone_number": "843-742-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-06",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Hutcheson, LPC, NCC, ACT
• Deanna Lutz Hyde, PHARMD
• Jacob Allen Hyrne, PA-C
• Ellen Ianelli, APN BC
• Iasis Center
• Sameh Ibrahim
• Icare Nursing Services
• Icuthere LLC
• Austin Imes
• In-Home Compassionate Care Service, Inc.

• Pharmacist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.