Individual provider Active NPI

Sam Ibrahim, PHARMD

  • Pharmacist
  • Schaumburg, IL
National Provider Identifier
1790062453
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051294886 Issued in IL
Practice address
9 Commerce Dr
Schaumburg, IL 60173-5302
Phone
(855) 237-9112
Fax
(855) 237-9113
NPI assigned
Nov 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 262024319A IN
Pharmacist 183500000X 227715 AK
Pharmacist 183500000X RPH-0017790 OR
Pharmacist 183500000X RP0011563 WV
Pharmacist 183500000X 051294886 IL Primary

Addresses

Primary practice location

9 Commerce Dr
Schaumburg, IL 60173-5302

Mailing address

9 Commerce Dr
Schaumburg, IL 60173-5302
Phone (855) 237-9112

Other names 1

  • Samer H Ibrahim Other name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
227715AKMDPharmacist
051294886ILMDPharmacist
262024319AINMDPharmacist
RPH-0017790ORMDPharmacist
RP0011563WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Healthcare LLC Current Accepting new patients
Carepoint Healthcare LLC Current Accepting new patients

Locations

9 Commerce Dr
Schaumburg, IL 60173

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1790062453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COMMERCE DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735302",
            "telephone_number": "855-237-9112",
            "fax_number": "855-237-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COMMERCE DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735302",
            "telephone_number": "855-237-9112",
            "fax_number": "855-237-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "262024319A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "227715",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017790",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0011563",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "IBRAHIM",
            "middle_name": "H",
            "credential": "PHARM D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.