Active NPI
JW Pharmacy & DME Inc
- Long Term Care Pharmacy
- La Grange, IL
National Provider Identifier
1245795988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- JW PHARMACY & DME INC
- Practice address
- 5101 Willow Springs Rd
La Grange, IL 60525 - Phone
- (708) 588-0300
- NPI assigned
- Feb 6, 2019
- Last updated
- Feb 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wafa Daki, PHARM.D.
- Title
- President
- Phone
- (708) 588-0300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
5101 Willow Springs Rd
La Grange, IL 60525
Mailing address
PO Box 744
La Grange, IL 60525-0744
Phone (708) 588-0300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Deerfield, IL
- NPI 1659053023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549411200000",
"number": "1245795988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605250744",
"telephone_number": "708-588-0300",
"fax_number": "708-588-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 WILLOW SPRINGS RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-588-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JW PHARMACY & DME INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A",
"authorized_official_last_name": "DAKI",
"authorized_official_first_name": "WAFA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-588-0300",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.