Active NPI
Anwar Abdelrahman, PHARM.D
- Pharmacist
- Palos Heights, IL
National Provider Identifier
1316669690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051304543
- Practice address
- 11859 Southwest Hwy
Palos Heights, IL 60463-1017 - Phone
- (708) 671-1360
- NPI assigned
- Sep 14, 2022
- Last updated
- Sep 14, 2022
- 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 | 051304543 | IL | Primary |
Addresses
Primary practice location
11859 Southwest Hwy
Palos Heights, IL 60463-1017
Mailing address
11859 Southwest Hwy
Palos Heights, IL 60463-1017
Phone (708) 671-1360
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 |
|---|---|---|---|
| 051304543 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1316669690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11859 SOUTHWEST HWY",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631017",
"telephone_number": "708-671-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11859 SOUTHWEST HWY",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631017",
"telephone_number": "708-671-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELRAHMAN",
"first_name": "ANWAR",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051304543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
- 3TS Advanced Practice Providers P.C. (The Arrie Method Wellness Spa)
- A Hopeful Mind Inc
- A Nelson Professional Corporation (The Dentist Tree)
- A.S.S.I.S.T. of Palos Heights, Inc.
- Dana Abdeddin, DDS
- Absolute Vision Care LTD
- Inas Abuhasna, LPC
- Amany Abusalem
- Hamdala Henry Abusharif, M.D.
- Academic & Behavior Consultants of Illinois, Inc. (ABC Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.