Active NPI
Diem Nguyen Lizama, R.PH.,PHARM.D.
- Pharmacist
- Skokie, IL
National Provider Identifier
1043622913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15070
- Practice address
- 8001 Lincoln Ave
Skokie, IL 60077-3695 - Phone
- (800) 553-7359
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15070 | OK | Primary |
| Pharmacist | 183500000X | 50631 | TX |
Addresses
Primary practice location
8001 Lincoln Ave
Skokie, IL 60077-3695
Mailing address
8001 Lincoln Ave
Skokie, IL 60077-3695
Phone (800) 553-7359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50631 | TX | MD | Social Worker |
| 15070 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1043622913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 LINCOLN AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773695",
"telephone_number": "800-553-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 LINCOLN AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773695",
"telephone_number": "800-553-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZAMA",
"first_name": "DIEM",
"middle_name": "NGUYEN",
"credential": "R.PH.,PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15070",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.