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1194478636 NPI number — RACHEL NICOLE IBRAHIMOVIC PHARM D

NPI Number: 1194478636
Health Care Provider/Practitioner: RACHEL NICOLE IBRAHIMOVIC PHARM D

Information about “1194478636” NPI (RACHEL NICOLE IBRAHIMOVIC PHARM D) exists in 1194478636 in HTML format HTML  |  1194478636 in plain Text format TXT  |  1194478636 in PDF (Portable Document Format) PDF  |  1194478636 in an XML format XML  formats.

NPI Number : 1194478636 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194478636",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IBRAHIMOVIC",
    "FirstName": "RACHEL",
    "MiddleName": "NICOLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOTSON",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARM D",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1 JARRETT WHITE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRIPLER ARMY MEDICAL CENTER",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96859-5001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-433-3788",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 JARRETT WHITE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRIPLER ARMY MEDICAL CENTER",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96859-5001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-433-3788",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2022",
    "LastUpdateDate": "09/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "2008027486",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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