Active NPI
Rkia El Moudden
- Pharmacist
- Glen Ellyn, IL
National Provider Identifier
1043906019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305332
- Practice address
- 324 Roosevelt Rd
Glen Ellyn, IL 60137-5647 - Phone
- (630) 858-2930
- NPI assigned
- Apr 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.305332 | IL | Primary |
Addresses
Primary practice location
324 Roosevelt Rd
Glen Ellyn, IL 60137-5647
Mailing address
1003 Neudearborn LN
Naperville, IL 60563-4174
Phone (347) 448-1980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.305332 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1043906019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 NEUDEARBORN LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634174",
"telephone_number": "347-448-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375647",
"telephone_number": "630-858-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL MOUDDEN",
"first_name": "RKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.