Active NPI
Sara Sabry Fouad Rizk
- Pharmacist
- East Peoria, IL
National Provider Identifier
1326288390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292918
- Practice address
- 2540 East Washington Street
East Peoria, IL 61611 - Phone
- (309) 698-3128
- NPI assigned
- Mar 3, 2009
- 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 | 051292918 | IL | Primary |
Addresses
Primary practice location
2540 East Washington Street
East Peoria, IL 61611
Mailing address
4010 N Brandywine Dr
Apt 111
Peoria, IL 61614
Phone (309) 966-3873
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 |
|---|---|---|---|
| 051292918 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1326288390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 N BRANDYWINE DR",
"address_2": "APT 111",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-966-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 EAST WASHINGTON STREET",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "61611",
"telephone_number": "309-698-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "SARA",
"middle_name": "SABRY FOUAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.