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JACQUELINE IBRAHIM RPH
NPI 1780273425
Pharmacist in Corona, CA

Active since January 17, 2021
770 MAGNOLIA AVE STE 1G, CORONA, CA 92879(951) 531-8041(951) 531-8043 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Jan 17, 2021 (2 updates tracked since 2021).

About Jacqueline Ibrahim Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE IBRAHIM RPH (NPI 1780273425) is an individual pharmacist in Corona, California, licensed in California (64589) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1780273425
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACQUELINE IBRAHIMCredential: RPH
Location Address770 MAGNOLIA AVE STE 1GCorona, CA 92879-3121
Mailing Address13877 Hollywood AveEastvale, CA 92880-8822 · (314) 238-4414 · Fax (951) 531-8043
Phone(951) 531-8041
Fax(951) 531-8043
Sole ProprietorYes
Enumeration DateJanuary 17, 2021
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1780273425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 64589
Definition
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.
770 MAGNOLIA AVE STE 1G, Corona, CA 92879
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Other Identifiers 1

MedicaidV2JCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J & R PHARMACY P C
Durable Medical Equipment & Medical Supplies
770 MAGNOLIA AVE STE 1G
CORONA, CA 92879
Riverside County (951) 531-8041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Ibrahim's NPI number?

The NPI number for Jacqueline Ibrahim is 1780273425. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Jacqueline Ibrahim located?

Jacqueline Ibrahim practices at 770 Magnolia Ave Ste 1G, Corona, CA 92879. The listed phone number is (951) 531-8041.

What is Jacqueline Ibrahim's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Ibrahim was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.