Silvia S Ibrahim

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS59010 Issued in FL

Practice address

8001 9TH St N
Saint Petersburg, FL 33702-4109

Phone

(727) 577-6888

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1346344314
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1932703469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10263 GANDY BLVD N APT 316",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022326",
            "telephone_number": "813-325-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 9TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024109",
            "telephone_number": "727-577-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2528 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337614150",
            "country_code": "US",
            "telephone_number": "727-797-5803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SILVIA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS59010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PS59010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayne M Hyduk, LMT
• Sarah Mackenzie Hylton, DO
• Allison Iarrusso, APRN
• Marina Ibrahim
• Omar Ibrahim, MD
• Scheber Ibreus
• Icare Homecare LLC
• Elisa Rosario Icaza, ARNP
• Suzanne T Icely, M.D.
• Icm Associates, Inc.

• Community/Retail Pharmacy in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.