Active NPI
Romany Ibrahim, PHARMACIST
- Pharmacist
- Santa Maria, CA
National Provider Identifier
1881158665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77725
- Practice address
- 2220 S Bradley Rd
Santa Maria, CA 93455-1348 - Phone
- (805) 349-7885
- NPI assigned
- Jan 26, 2019
- Last updated
- Jul 28, 2026
- 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 | 77725 | CA | Primary |
Addresses
Primary practice location
2220 S Bradley Rd
Santa Maria, CA 93455-1348
Mailing address
3680 Wilshire Blvd Ste Po41010
Los Angeles, CA 90010-2707
Phone (949) 391-8641
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77725 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Evergreen Pharmaceutical of California, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Omnicare of Santa Rosa #48218
- Long Term Care Pharmacy
- Santa Rosa, CA
- NPI 1013026608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1881158665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 WILSHIRE BLVD STE PO41010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102707",
"telephone_number": "949-391-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 S BRADLEY RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551348",
"telephone_number": "805-349-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "ROMANY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-26",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.