Michael Ibrahim

Primary specialty

PharmacistTaxonomy code 183500000X

License

58918 Issued in FL

Practice address

14344 Spring Hill Dr
Spring Hill, FL 34609-8101

Phone

(352) 587-6949

NPI assigned

Feb 16, 2019

Last updated

Mar 12, 2023By the provider in NPPES

Sex

Male

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

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.

• Archangel Pharmacy LLC

  dba Angel Pharmacy

  • Pharmacy
  • Hudson, FL
  • NPI 1427758275
  NPD Authorized official
• Archangel Pharmacy LLC

  dba Angel Pharmacy LTC

  • Long Term Care Pharmacy
  • Hudson, FL
  • NPI 1598565897
  NPD Authorized official
• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-6207

  • Community/Retail Pharmacy
  • Spring Hill, FL
  • NPI 1720457021
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1588120372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098101",
            "telephone_number": "352-587-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653703",
            "country_code": "US",
            "telephone_number": "646-280-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-16",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "58918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Hudson, DO, PHARMD
• Sandra Petrucce Hurst
• Amber Hutchinson, RPH
• Jessica L. Hutchinson, ARNP
• Trinh-Nguyen Huynh, PHARMD.
• Mohiuddin Ifaz
• Catherine Maria Ihasz-Jentsch, RN
• Flavio Haruyo Iizuka, MD
• In Due Season Birth Center & Family Wellness-Spring Hill
• In Due Season Wellness Group LLC (In Due Season Birth Center & Family Wellness)

• Pharmacist in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.