CMS-1500 Box 24J / 33a • NPI
1205581337
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
3336M0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Managed Care Organization Pharmacy
Box 32 Service Location & ZIP+4
1701 MERCY HEALTH PL, CINCINNATI, OH, 45237-6147
✓ 9-Digit EDI 837 ZIP+4 (45237-6147)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205581337 (HABIB MARIO ABRAHAM, PharmD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205581337 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HABIB MARIO ABRAHAM, PharmD |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Managed Care Organization Pharmacy NUCC Code: 3336M0003X (Pharmacy, Managed Care Organization Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1701 MERCY HEALTH PL, CINCINNATI, OH, 45237-6147 |
| Practice Telephone / Fax | Tel: (513) 952-4443 |
| Administrative Mailing Address | 7754 ALBRIGHT CT, MASON, OH, 45040-8886 |
| Enumeration & Last Sync | Enumerated: 2022-02-17 | CMS Record Updated: 2022-02-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336M0003X)
What Does Taxonomy Code 3336M0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336M0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Managed Care Organization Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HABIB MARIO ABRAHAM, PharmD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336M0003X — Pharmacy, Managed Care Organization PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Managed Care Organization Pharmacy | State: OH | License: 03230596 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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