Ahmed Mahafzah, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.295152 Issued in IL

Practice address

10837 S Cicero Ave Ste 110C
Oak Lawn, IL 60453-6459

Phone

(708) 529-7222

Fax

(708) 529-7325

NPI assigned

Mar 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Avicenna Pharmacy Inc

  dba Avicenna Pharmacy

  • Community/Retail Pharmacy
  • Oak Lawn, IL
  • NPI 1437420460
  NPD Authorized official
• Avicenna Pharmacy Inc

  dba Avicenna Pharmacy

  • Long Term Care Pharmacy
  • Oak Lawn, IL
  • NPI 1588279558
  NPD Authorized official

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1316694953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE STE 110C",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536459",
            "telephone_number": "708-529-7222",
            "fax_number": "708-529-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE STE 110C",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536459",
            "telephone_number": "708-529-7222",
            "fax_number": "708-529-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10604 Southwest Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604152704",
            "country_code": "US",
            "telephone_number": "708-930-5393",
            "fax_number": "708-529-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFZAH",
        "first_name": "AHMED",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele A Madison
• Melissa Magallanes, MD
• Synetra Amber Magee
• Josie Magnabosco
• Paige June Magnin, PA-C
• Ankita Mahajan, DO
• John T Mahay, DPT
• Natalie Mahieu, MD
• Sarah Kaye Mahowald, DPM
• Munazza Majeed, M.D

• Pharmacist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.