Anita Abdo, PHARMD
Individual provider Active NPI Pharmacist · Springfield, IL
NPI 1538757331 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1538757331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051303305 (IL)
- Practice address
- 2703 Adlai Stevenson Dr
Springfield, IL 62703-4427 - Phone
- (217) 529-5468
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051303305 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051303305 | IL | Yes |
Addresses
Primary practice location
2703 Adlai Stevenson Dr
Springfield, IL 62703-4427
Mailing address
2703 Adlai Stevenson Dr
Springfield, IL 62703-4427
Phone (217) 529-5468
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.