Active NPI
Maryam Damilola Alli, PHARMD
- Pharmacist
- Cleveland, OH
National Provider Identifier
1477200327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03442033
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 237-5327
- NPI assigned
- Mar 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202220119 | VA | |
| Pharmacist | 183500000X | 03442033 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
9415 Royal Path CV
Laurel, MD 20723-1689
Phone (240) 593-1844
Other practice location 1
9415 Royal Path Cv
Laurel, MD 20723-1689
Phone (240) 593-1844
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 |
|---|---|---|---|
| 03442033 | OH | MD | Pharmacist |
| 0202220119 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1477200327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 ROYAL PATH CV",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231689",
"telephone_number": "240-593-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-237-5327"
}
],
"practiceLocations": [
{
"address_1": "9415 Royal Path Cv",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207231689",
"country_code": "US",
"telephone_number": "240-593-1844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLI",
"first_name": "MARYAM",
"middle_name": "DAMILOLA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220119",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03442033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.