Medtime Pharmacy LLC
NPI 1407202914 · Community/Retail Pharmacy · Canton, OH
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medtime Pharmacy LLC is a Community/Retail Pharmacy organization in Canton, OH (NPI 1407202914).
Provider details
- NPI number
- 1407202914
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tamer Ibrahim, Owner, Pic, Ao(330) 412-7442
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medtime Pharmacy
- Doing business as
- Medtime Pharmacy
Registry dates
- Enumerated
- 2016-05-13
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Medtime Pharmacy LLC's NPI number?
- Medtime Pharmacy LLC's National Provider Identifier (NPI) is 1407202914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medtime Pharmacy LLC?
- Medtime Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medtime Pharmacy LLC located?
- Medtime Pharmacy LLC's practice location on file with NPPES is 400 12th St Nw, Canton, OH 44703-1809.
- What is Medtime Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Medtime Pharmacy LLC is (234) 410-3366.
- Does Medtime Pharmacy LLC accept Medicare?
- Medtime Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medtime Pharmacy LLC?
- The authorized official listed on Medtime Pharmacy LLC's NPPES record is Tamer Ibrahim, Owner, Pic, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medtime Pharmacy LLC's NPI active?
- Yes — Medtime Pharmacy LLC's NPI (1407202914) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.