Ibrahim Al Rahmanee
Individual provider Active NPI Pharmacist · El Dorado Hills, CA
NPI 1669097218 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1669097218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 82392 (CA)
- Practice address
- 4400 Latrobe Rd
El Dorado Hills, CA 95762-6704 - Phone
- (703) 473-0864
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82392 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82392 | CA | Yes |
Addresses
Primary practice location
4400 Latrobe Rd
El Dorado Hills, CA 95762-6704
Mailing address
6011 Shadow LN Apt 96
Citrus Heights, CA 95621-6059
Other providers in El Dorado Hills, CA
- Julie M Aguilar
- Mira Lisboa Aguirre
- Abdul Ahad Ahmad
- Hannah E Ahmed
- Herb J Akers Jr.
- Mohamad Taisir Albik
- Laurie Marie Aldrich
- Tasean Alexander Dorsey
- Kacey Alexander
- Nazira Naele Ali
All providers in El Dorado Hills, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.