Individual provider Active NPI

Dema Wigdan Al Qassy

  • Pharmacist
  • Logan, UT
National Provider Identifier
1164321824
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11053427-1701 Issued in UT
Practice address
280 N 1480 E
Logan, UT 84321-4965
Phone
(435) 227-1100
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11053427-1701 UT Primary

Addresses

Primary practice location

280 N 1480 E
Logan, UT 84321-4965

Mailing address

280 N 1480 E
Logan, UT 84321-4965
Phone (435) 227-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1164321824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N 1480 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214965",
            "telephone_number": "435-227-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N 1480 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214965",
            "telephone_number": "435-227-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL QASSY",
        "first_name": "DEMA",
        "middle_name": "WIGDAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "11053427-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.