Individual provider Active NPI

Salam Awadallah, PHARM. D

  • Pharmacist
  • Oak Lawn, IL
National Provider Identifier
1396472957
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303424 Issued in IL
Practice address
6019 W 87TH St
Oak Lawn, IL 60453-1171
Phone
(708) 674-2668
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303424 IL Primary

Addresses

Primary practice location

6019 W 87TH St
Oak Lawn, IL 60453-1171

Mailing address

6019 W 87TH St
Oak Lawn, IL 60453-1171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sawadallah31@midwestern.edu

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

LicenseStateTypeSpecialty
051303424ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: sawadallah31@midwestern.edu

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1396472957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 W 87TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 W 87TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531171",
            "telephone_number": "708-674-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLAH",
        "first_name": "SALAM",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sawadallah31@midwestern.edu",
            "affiliation": "N",
            "address_1": "6019 W 87th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604531171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.