Active NPI
Majd Ibraihm, DR.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Homer Glen, IL
National Provider Identifier
1962137885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 051.304758
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.304758 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palos RX LLC | Current | Accepting new patients | |
| Orland Pharmacy, Inc. | Current | Accepting new patients | |
| Medcounsel Pharmacy Corp. | Past | 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.
-
- Community/Retail Pharmacy
- Homer Glen, IL
- NPI 1700550860
-
dba Dr. Z's Pharmacy
- Community/Retail Pharmacy
- Homer Glen, IL
- NPI 1629469945
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.