Individual provider Active NPI

Hiba Alhalabi, PHARMACIST

  • Specialty Pharmacy
  • Belleville, IL
National Provider Identifier
1285290221
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
051297878 Issued in IL
Practice address
1 Royal Heights Ctr
Belleville, IL 62226-5705
Phone
(618) 973-3879
Fax
(618) 641-9801
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 051297878 IL Primary

Addresses

Primary practice location

1 Royal Heights Ctr
Belleville, IL 62226-5705

Mailing address

1 Royal Heights Ctr
Belleville, IL 62226-5705
Phone (618) 973-3879

Other practice location 1

1 Royal Heights Ctr
Belleville, IL 62226-5705
Phone (618) 973-3879

Other identifiers 1

IdentifierTypeStateIssuer
600054342MedicaidIL

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

LicenseStateTypeSpecialty
051297878ILMDSpecialty Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Express Medical Pharmacy LLC Specialty Pharmacy Current Accepting new patients
Avalcare PastSince Aug 2, 2020 Accepting new patients

Locations

1 Royal Heights Ctr
Belleville, IL 62226
Phone (618) 233-0100

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285290221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROYAL HEIGHTS CTR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265705",
            "telephone_number": "618-973-3879",
            "fax_number": "618-641-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROYAL HEIGHTS CTR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265705",
            "telephone_number": "618-973-3879",
            "fax_number": "618-641-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Royal Heights Ctr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265705",
            "country_code": "US",
            "telephone_number": "618-973-3879",
            "fax_number": "618-641-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHALABI",
        "first_name": "HIBA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "051297878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600054342",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.