DR. IBRAHIM TAWFIQ IBRAHIM (NPI# 1710390422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710390422 |
| Entity Type | Individual |
| Full Name | DR. IBRAHIM TAWFIQ IBRAHIM |
| Credential | PHARMD |
| Practice Address |
6420 Petrie Way Baltimore MD 21237-3034 |
| Mailing Address |
7177 Hummingbird Dr Glen Burnie MD 21060-8406 |
| Practice Telephone | 4106876832 |
| Mailing Telephone | 9732049973 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
20766 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975510 | Ibrahim Ibrahim | Non-emergency Medical Transport (VAN) | 7070 Capitol Ct Apt 857, Omaha, NE 68132-2766 | 2020-02-26 |
| 1346259413 | Ibrahim Ibrahim | Chiropractor | 2757 Germantown Ave, Philadelphia, PA 19133-1727 | 2006-08-06 |
| 1912562422 | Ibrahim Ibrahim | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2019-05-09 |
| 1699975540 | Ibrahim Fuad Ibrahim | Internal Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-7201 | 2007-07-19 |
| 1467465724 | Ibrahim M Ibrahim | Specialist | 350 Engle St, 2 East, Englewood, NJ 07631-1808 | 2006-08-15 |
| Street Address |
6420 PETRIE WAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487671772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6420 Petrie Way, Baltimore, MD 21237-3034 | 2006-07-16 |
| 1942800420 | Joseph Zacharia | Pharmacist | 6420 Petrie Way, Baltimore, MD 21237-3034 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911754 | Seferina Kim | Pharmacist | 16 S Eutaw St Ste 200, Baltimore, MD 21201-1626 | 2020-04-21 |
| 1902010283 | Godfrey Ukwuoma | Pharmacist | 7027 Liberty Rd, Baltimore, MD 21207-5802 | 2007-05-09 |
| 1952425928 | Bernard W Andoh | Pharmacist | 3716 W Belvedere Ave, Baltimore, MD 21215-5821 | 2007-03-16 |
| 1437287943 | Jo Lynne Wallin-wais | Pharmacist | 5701 N Charles St, Suite 5218, Baltimore, MD 21210-1315 | 2007-02-28 |
| 1861582512 | Anthony James Busti | Pharmacist | 1830 E Monument St # 6-100, Baltimore, MD 21287-0020 | 2006-10-13 |
| 1619987534 | Nnenna Lillian Iheagwara | Pharmacist | 10 N Greene St # 119, Baltimore, MD 21201-1524 | 2006-08-09 |
| 1306876545 | Nicole Jennifer Brandt | Pharmacist | 20 N Pine St # 445, Baltimore, MD 21201-1142 | 2006-07-04 |
| 1922064369 | Michelle A Fritsch | Pharmacist | 4701 N Charles St, School of Pharmacy, Baltimore, MD 21210-2404 | 2006-04-25 |
| 1548261662 | Stuart Tilman Haines | Pharmacist | 20 N Pine St, Room 405, Baltimore, MD 21201-1142 | 2005-08-10 |
| 1851391635 | Ifeanyi Gloria Egbunike | Pharmacist | 637 Perkins St, Baltimore, MD 21201-1333 | 2005-07-22 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.