Active NPI
Neven Ibrahim, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1992028633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047970-1
- Practice address
- 414 6TH Ave
New York, NY 10011-8416 - Phone
- (212) 533-2700
- Fax
- (212) 228-8140
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03084500 | NJ | |
| Pharmacist | 183500000X | 047970-1 | NY | Primary |
Addresses
Primary practice location
414 6TH Ave
New York, NY 10011-8416
Mailing address
35 W 96TH St
Apt # 7a
New York, NY 10025-6518
Phone (917) 675-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00265807 | Medicaid | NY |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03084500 | NJ | MD | Pharmacist |
| 047970-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C O Bigelow Chemists Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1861586273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1992028633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W 96TH ST",
"address_2": "APT # 7A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256518",
"telephone_number": "917-675-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 6TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118416",
"telephone_number": "212-533-2700",
"fax_number": "212-228-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "NEVEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03084500",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047970-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00265807",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.