Individual provider Active NPI

Feby Emil Mousa

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1760743140
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03487000 Issued in NJ
Practice address
135 Kelvin Ave
Staten Island, NY 10306-4307
Phone
(646) 387-3395
NPI assigned
Jun 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03487000 NJ Primary

Addresses

Primary practice location

135 Kelvin Ave
Staten Island, NY 10306-4307

Mailing address

135 Kelvin Ave
Staten Island, NY 10306-3743
Phone (646) 387-3395

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

State licenses

LicenseStateTypeSpecialty
28RI03487000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibram Pharmacy Inc Current Accepting new patients
Ibram Pharmacy Inc Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1760743140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KELVIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063743",
            "telephone_number": "646-387-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KELVIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064307",
            "telephone_number": "646-387-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "FEBY",
        "middle_name": "EMIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-02",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03487000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.