Maryam A Alrazzaq, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-288241 Issued in IL

Practice address

14400 John Humphrey Dr
Suit 110
Orland Park, IL 60462-2897

Phone

(708) 460-4930

Fax

(708) 460-4932

NPI assigned

Jan 11, 2012

Last updated

Sep 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Convex Pharmacy, LLC

  dba Convex Pharmacy

  • Compounding Pharmacy
  • Orland Park, IL
  • NPI 1679918403
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1013287705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 JOHN HUMPHREY DR",
            "address_2": "SUIT 110",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622897",
            "telephone_number": "708-460-4930",
            "fax_number": "708-460-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 JOHN HUMPHREY DR",
            "address_2": "SUIT 110",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622897",
            "telephone_number": "708-460-4930",
            "fax_number": "708-460-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRAZZAQ",
        "first_name": "MARYAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-288241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneen Alomari
• Nawal Alomari, M.A. LPC
• Dana Aloya, OTD
• Alqaim Medical Associates Inc
• Sara Alqawasmi
• Shatha Hussain Alsamawi, MD
• Tamara Alshoweat
• Alsip Integrated Medical Center S C
• Jessica Lynn Alston, M.D.
• Sali Altarifi, DMD

• Pharmacist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.