Active NPIIndividual provider

Mario S Ibrahim, PHARMD

Pharmacist in Kinnelon, New Jersey

NPI Number1144735291
Practice location
1483 State Rt 23 Ste 12, Kinnelon, NJ 07405-1643
Fax
—
Last updated
December 12, 2017

Mario S Ibrahim is a Pharmacist based in Kinnelon, NJ. Mario S Ibrahim practices in Kinnelon, NJ and has the professional credentials of PHARMD. The NPI Number for Mario S Ibrahim is 1144735291 and holds a License No. 28RI03915100 (NJ). The current practice location address for Mario S Ibrahim is 1483 State Rt 23 Ste 12, Kinnelon, NJ 07405-1643 and can be reached out via phone at 973-838-4444.

Provider Profile Details

NPI Number
1144735291
Provider Name
Mario S Ibrahim
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1483 State Rt 23 Ste 12, Kinnelon, NJ 07405-1643
Phone Number
973-838-4444
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2017
Last Update Date
December 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1483 State Rt 23 Ste 12
Kinnelon, NJ 07405-1643
Zip
07405-1643
Phone Number
973-838-4444
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
30 Sundance Ter
Hamburg, NJ 07419-2428
City
Hamburg
State
NJ
Zip
07419-2428

License Information

License Number
28RI03915100
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mario S Ibrahim, PHARMD?

The NPI number of Mario S Ibrahim, PHARMD is 1144735291. It was assigned on December 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Mario S Ibrahim, PHARMD?

Mario S Ibrahim, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03915100.

Where does Mario S Ibrahim, PHARMD practice?

The practice location is 1483 State Rt 23 Ste 12, Kinnelon, NJ 07405-1643. The office can be reached at 973-838-4444 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144735291 directly on the NPPES registry website.

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