DR. IHAB IBRAHIM (NPI# 1740689959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740689959 |
| Entity Type | Individual |
| Full Name | DR. IHAB IBRAHIM |
| Credential | PHARMD |
| Practice Address |
9 Monticello Dr Shoreham NY 11786-2046 |
| Practice Telephone | 6314763393 |
| Mailing Telephone | 6314763393 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11-20019 | NC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
84929343 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043259880 | Ihab J. Ibrahim | Pain Medicine | 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | 2006-06-06 |
| 1083876809 | Ihab I Ibrahim | Psychiatry & Neurology | 8701 Shore Rd, Apt 637, Brooklyn, NY 11209-4204 | 2008-07-02 |
| 1417062712 | Ihab Ibrahim | Internal Medicine | 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274-4126 | 2006-08-20 |
| Street Address |
9 MONTICELLO DR |
| City | SHOREHAM |
| State | NY |
| Zip Code | 11786-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568896 | Hanaa Ibrahim | Pharmacist | 9 Monticello Dr, Shoreham, NY 11786-2046 | 2014-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600816 | Lisa Wolf | Social Worker | 45 Route 25, Suite A-2, Shoreham, NY 11786 | 2017-10-18 |
| 1245672476 | Eric Brett Salmonson | Dentist | 47 N. Country Rd., Shoreham, NY 11786 | 2013-07-30 |
| 1275841165 | Kaitlyn Elizabeth Boulukos | Speech-Language Pathologist | 3 Miller Avenue, Shoreham, NY 11786 | 2010-09-14 |
| 1659694123 | Nimisha P Joshi | Pharmacist | 2 Villa Street, Shoreham, NY 11786 | 2010-03-11 |
| 1720300148 | Rita J Shah | Pharmacist | 99-1 Route 25a, Shoreham, NY 11786 | 2010-02-26 |
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1922250802 | Julianne Marie Smith | Registered Nurse | 45 Rt 25a Suite C, Shoreham, NY 11786 | 2008-10-22 |
| 1326290438 | John M. Aloisio | Dentist | 2 Southgate, Shoreham, NY 11786 | 2008-10-21 |
| 1639345366 | Dawn M Mineo | Nutritionist | 8 Cornell Rd, Shoreham, NY 11786 | 2008-05-02 |
| 1780871103 | Linda Marie Spallina | Social Worker | 9 South Trl, Shoreham, NY 11786 | 2007-09-30 |
| Find all providers in zip 11786 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568896 | Hanaa Ibrahim | Pharmacist | 9 Monticello Dr, Shoreham, NY 11786-2046 | 2014-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
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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.