Active NPI
Ali Ahmed Nafea Ali, R.PH
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1124456140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16253-40
- Practice address
- 3522 W Wisconsin Ave
Milwaukee, WI 53208-3846 - Phone
- (414) 342-4446
- NPI assigned
- Oct 30, 2013
- Last updated
- Oct 30, 2013
- Sex
- Male
- 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 | 16253-40 | WI | Primary |
| Pharmacist | 183500000X | 051.296438 | IL |
Addresses
Primary practice location
3522 W Wisconsin Ave
Milwaukee, WI 53208-3846
Mailing address
3522 W Wisconsin Ave
Milwaukee, WI 53208
Phone (414) 342-4446
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.296438 | IL | MD | Pharmacist |
| 16253-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Change RX 1 LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Life Change Pharmacy 2
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1952965576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1124456140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3522 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53208",
"telephone_number": "414-342-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532083846",
"telephone_number": "414-342-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "ALI",
"middle_name": "AHMED NAFEA",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16253-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.296438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.