Active NPI
Fadi Musleh, PHARM D
- Pharmacist
- Evanston, IL
National Provider Identifier
1336737485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051289766
- Practice address
- 1607 Benson Ave
Evanston, IL 60201-3717 - Phone
- (847) 227-8020
- Fax
- (847) 868-8426
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- Sex
- Male
- 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 | 051289766 | IL | Primary |
Addresses
Primary practice location
1607 Benson Ave
Evanston, IL 60201-3717
Mailing address
1607 Benson Ave
Evanston, IL 60201-3717
Phone (847) 227-8020
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 |
|---|---|---|---|
| 051289766 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Pure RX Inc | 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": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1336737485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 BENSON AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013717",
"telephone_number": "847-227-8020",
"fax_number": "846-868-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 BENSON AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013717",
"telephone_number": "847-227-8020",
"fax_number": "847-868-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSLEH",
"first_name": "FADI",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051289766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
- Najah Senno Musacchio, M.D.
- Jayne Diana Museitif, MSMFT
- Umer Mushtaq
- Music Institute of Chicago (Institute for Therapy through the Arts)
- Jeffrey N Muskovin, LMT
- Jenna Musselman-Palles, LCSW
- MVMT Evanston Physical Therapy PLLC
- Peter G Myers, PSY.D.
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.