Individual provider Active NPI

Majd Ibraihm, DR.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Homer Glen, IL
National Provider Identifier
1962137885
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
051.304758 Issued in IL
Practice address
14322 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone
(708) 732-5700
Fax
(708) 732-5701
NPI assigned
Jul 24, 2022
Last updated
Jul 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051.304758 IL Primary

Addresses

Primary practice location

14322 S Will Cook Rd
Homer Glen, IL 60491-9211

Mailing address

14322 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone (708) 732-5700

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
051.304758ILMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palos RX LLC Current Accepting new patients
Orland Pharmacy, Inc. CurrentSince Jul 31, 2022 Accepting new patients
Medcounsel Pharmacy Corp. PastSince Jul 31, 2022 Accepting new patients

Locations

14322 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 726-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1962137885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14322 S WILL COOK RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919211",
            "telephone_number": "708-732-5700",
            "fax_number": "708-732-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14322 S WILL COOK RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919211",
            "telephone_number": "708-732-5700",
            "fax_number": "708-732-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAIHM",
        "first_name": "MAJD",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051.304758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.