Essraa Bahaaeldin Hasan Ibrahim, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

072614 Issued in NY

Practice address

3506 30TH Ave
Astoria, NY 11103-4623

Phone

(718) 777-8544

Fax

(718) 777-8546

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By the provider in NPPES

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

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.

• 30TH Avenue Pharmacy Inc

  • Community/Retail Pharmacy
  • Astoria, NY
  • NPI 1518321645
  NPD (past)

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1598552770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 102ND ST APT 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744524",
            "telephone_number": "294-829-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034623",
            "telephone_number": "718-777-8544",
            "fax_number": "718-777-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ESSRAA",
        "middle_name": "BAHAAELDIN HASAN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "072614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonald Hyndman, MD
• Kristjana Hysaj, OTR/L
• I-Sight Inc. (I-Sight Optical)
• I.E.S. Medical, PC
• Hazel Ibe
• Yasmien Eltamimy Ibrahim Ibrahim, PT
• Icahn School of Medicine at Mount Sinai (Mount Sinai Queens Doctors)
• Ideal Foot Care PC
• Identid Corp
• Iea Astoria LLC

• Pharmacist in Astoria, NY
• Providers in Astoria, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.