Active NPI
Samah Mohamed Ibrahim, RPH
- Pharmacist
- Fullerton, CA
National Provider Identifier
1841831088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78645
- Practice address
- 105 W Bastanchury Rd Ste D
Fullerton, CA 92835-2525 - Phone
- (714) 500-7727
- NPI assigned
- Sep 29, 2019
- Last updated
- Sep 29, 2019
- Sex
- Female
- 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 | 78645 | CA | Primary |
Addresses
Primary practice location
105 W Bastanchury Rd Ste D
Fullerton, CA 92835-2525
Mailing address
191 Groveland
Irvine, CA 92620-2826
Phone (805) 720-4563
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 |
|---|---|---|---|
| 78645 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sama Healthcare Inc | Current | Accepting new patients |
Locations
105 W Bastanchury Rd
Ste D
Fullerton, CA 92835
Phone (714) 500-7727
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569715200000",
"number": "1841831088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 GROVELAND",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202826",
"telephone_number": "805-720-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W BASTANCHURY RD STE D",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352525",
"telephone_number": "714-500-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "SAMAH",
"middle_name": "MOHAMED",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-29",
"last_updated": "2019-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.