Active NPI
Reem Mohammed Ahmed Fadul
- Pharmacist
- Woodridge, IL
National Provider Identifier
1245078898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051306324
- Practice address
- 8645 Woodward Ave
Woodridge, IL 60517-3148 - Phone
- (630) 910-2250
- NPI assigned
- Jul 17, 2024
- 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 | 051306324 | IL | Primary |
Addresses
Primary practice location
8645 Woodward Ave
Woodridge, IL 60517-3148
Mailing address
1338 S Rebecca Rd
Lombard, IL 60148-4440
Phone (331) 551-3449
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 |
|---|---|---|---|
| 051306324 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1245078898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 S REBECCA RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484440",
"telephone_number": "331-551-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 WOODWARD AVE",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173148",
"telephone_number": "630-910-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADUL",
"first_name": "REEM",
"middle_name": "MOHAMMED AHMED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051306324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.