Active NPI
Ibrahim Ali Farhat, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1699413559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036310-01
- Practice address
- 1109 Coney Island Ave the Medicine Shoppe Pharmacy
Brooklyn, NY 11230 - Phone
- (718) 434-4649
- Fax
- (718) 434-4168
- NPI assigned
- May 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 036310-01 | NY | Primary |
Addresses
Primary practice location
1109 Coney Island Ave the Medicine Shoppe Pharmacy
Brooklyn, NY 11230
Mailing address
1109 Coney Island Ave the Medicine Shoppe Pharmacy
Brooklyn, NY 11230
Phone (718) 434-4649
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 |
|---|---|---|---|
| 036310-01 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raavi Corporation | Current | Accepting new patients | |
| Siddiqui Corporation | Past | Accepting new patients | |
| Universal Pharmacy Inc | Past | Accepting new patients | |
| Sara Pharmacy RX LLC | Pharmacist | Past | Accepting new patients |
Locations
1109 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 434-4649
Organizations & group practices 4
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.
-
- Pharmacist
- Bronx, NY
- NPI 1316817414
-
dba The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1073907671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1699413559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 CONEY ISLAND AVE THE MEDICINE SHOPPE PHARMACY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-434-4649",
"fax_number": "718-434-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 CONEY ISLAND AVE THE MEDICINE SHOPPE PHARMACY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-434-4649",
"fax_number": "718-434-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAT",
"first_name": "IBRAHIM",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-21",
"last_updated": "2024-05-31",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036310-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.