Active NPI
Amy Joelle Nedic, PHARM. D.
- Pharmacist
- Elmwood Park, IL
National Provider Identifier
1154602852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051288489
- Practice address
- 2828 N Harlem Ave
Elmwood Park, IL 60707-1637 - Phone
- (708) 583-0170
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 051288489 | IL | Primary |
Addresses
Primary practice location
2828 N Harlem Ave
Elmwood Park, IL 60707-1637
Mailing address
7401 W Winnemac Ave
Harwood Heights, IL 60706-3426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288489 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1154602852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 W WINNEMAC AVE",
"city": "HARWOOD HEIGHTS",
"state": "IL",
"postal_code": "607063426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N HARLEM AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607071637",
"telephone_number": "708-583-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDIC",
"first_name": "AMY",
"middle_name": "JOELLE",
"name_prefix": "Miss",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmwood Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.