Mariem T Ibrahim, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

83658 Issued in CA

Practice address

8900 Sepulveda Westway
Los Angeles, CA 90045-3619

Phone

(310) 258-0265

NPI assigned

Nov 30, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1831794890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SEPULVEDA WESTWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SEPULVEDA WESTWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453619",
            "telephone_number": "310-258-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Obama Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900165225",
            "country_code": "US",
            "telephone_number": "323-936-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MARIEM",
        "middle_name": "T",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs.com",
            "affiliation": "N",
            "address_1": "5101 Obama Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900165225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs",
            "affiliation": "N",
            "address_1": "8900 Sepulveda Westway",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900453619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacklyn Ibrahim
• Joseph Ibrahim, OTR/L
• Kamal Tewfik Ibrahim, PT
• Khalda Ibrahim
• Mariamme Hanna Ibrahim
• Mina Boshra Ghattas Ibrahim
• Mohammed Ibrahim
• Norhan Ibrahim, DO
• Nuha Abdalla Khalil Ibrahim, MD
• Sameer Ibrahim

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.