Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518789668 Individual Practitioner Male Practitioner

John Paul Ibrahim

Pharmacist • Tigard, OR

Professional Overview & Biography Verified Profile Summary

John Paul Ibrahim is a registered healthcare professional specializing in Pharmacist in Tigard, OR. Practice services are available at 11565 SW PACIFIC HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11565 Sw Pacific Hwy

Tigard, OR 972238845

Telephone 5032937085
Fax 5032937078
Associated Practice Facility / Clinic
🏢 Fred Meyer Stores Inc Facility NPI 1063458925

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Tigard, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR RPH-0020217

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Richard Barlow

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1437879962
NPI 1457691727

Registered Pharmacist

NPI 1548692817

Registered Pharmacist

Dr. Jenell Henson , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1629084496

Doctor of Pharmacy (Pharm.D.)

Dr. Nghi Nguyen , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1740151786

Doctor of Pharmacy (Pharm.D.)

NPI 1821438557

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2024

Registered at 11565 SW PACIFIC HWY, TIGARD, OR 972238845 (Tel: 5032937085)

📍
Updated Business Mailing Address October 29, 2024

Registered at 11565 SW PACIFIC HWY, TIGARD, OR 972238845 (Tel: 5032937085)

👤
Provider Name / Credentials Updated October 29, 2024

Recorded as JOHN PAUL IBRAHIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2024

Pharmacist (License #RPH-0020217 in OR)

🟢
Initial NPI Registration & Enumeration October 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518789668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2024
Last Update: October 29, 2024
Sole Proprietor: No

Mailing Address

11565 Sw Pacific Hwy

Tigard, OR 972238845

Phone: 5032937085

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.