Mary Ibrahim, PharmD
Pharmacist in Houston, TX. Individual provider (NPI-1).
NPI number1295023943
StatusActive
Last updated in NPPESJul 15, 2011
Details
- NPI
- 1295023943
- Entity type
- Individual (NPI-1)
- Name
- Mary Ibrahim
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2011
- Last updated
- Jul 15, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 47555 | TX | Yes |
Practice location
4323 San Felipe StT-0955
Houston, TX 77027-3406
Phone 713-331-0166 · Fax 713-331-0166
Mailing address
4323 San Felipe StT-0955
Houston, TX 77027-3406
Phone 713-331-0166 · Fax 713-331-0166
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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