JW Pharmacy & DME Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054015550 Issued in IL

Legal business name

JW PHARMACY & DME INC

Practice address

5101 Willow Springs Rd
La Grange, IL 60525-2600

Phone

(708) 588-0300

Fax

(708) 588-0302

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wafa Daki, PHARM.D.NPI 1659053023

Title

Chief Pharmacist

Phone

(708) 588-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wafa Daki, PHARMD

  • Pharmacist
  • Deerfield, IL
  • NPI 1659053023
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023043643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605250744",
            "telephone_number": "708-588-0300",
            "fax_number": "708-588-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-588-0300",
            "fax_number": "708-588-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW PHARMACY & DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAKI",
        "authorized_official_first_name": "WAFA",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "708-588-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054015550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1477911",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavon Jones, OTR/L
• Sarah Jones
• Taylor Jones, BCBA
• Jr Counseling Services Inc
• Justin Boyce, P.C.
• JW Pharmacy & DME Inc
• Lolichandra Kadiyala, MD
• Laura Bennett Kaehler, LCSW
• Gelareh Karimi, PHARMD
• Soula Karnezis, C.R.N.A

• Pharmacy in La Grange, IL
• Providers in La Grange, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.