Fadi Musleh, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051289766 Issued in IL

Practice address

1607 Benson Ave
Evanston, IL 60201-3717

Phone

(847) 227-8020

Fax

(847) 868-8426

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Simply Pure RX Inc

  • Community/Retail Pharmacy
  • Evanston, IL
  • NPI 1750749297
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464912051001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Najah Senno Musacchio, M.D.
• Jayne Diana Museitif, MSMFT
• Umer Mushtaq
• Music Institute of Chicago
• Jeffrey N Muskovin, LMT
• Jenna Musselman-Palles, LCSW
• MVMT Evanston Physical Therapy PLLC
• Peter G Myers, PSY.D.
• Myeyedr Optometry of Illinois, LLC
• Myeyedr Optometry of Illinois, LLC

• Pharmacist in Evanston, IL
• Providers in Evanston, IL by specialty
• Pharmacist in Illinois

• 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.

Verify at the official NPI Registry.