Individual provider Active NPI

Nermen Nshat Helmy Abrahem

  • Pharmacist
  • San Dimas, CA
National Provider Identifier
1881312288
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85933 Issued in CA
Practice address
1204 Oak Creek Rd
San Dimas, CA 91773-1242
Phone
(818) 391-2160
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85933 CA Primary

Addresses

Primary practice location

1204 Oak Creek Rd
San Dimas, CA 91773-1242

Mailing address

1204 Oak Creek Rd
San Dimas, CA 91773-1242
Phone (818) 912-2814

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
85933CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1881312288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 OAK CREEK RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731242",
            "telephone_number": "818-912-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 OAK CREEK RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731242",
            "telephone_number": "818-391-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHEM",
        "first_name": "NERMEN",
        "middle_name": "NSHAT HELMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.