Active NPI
Mariam Ali, PHARMD.
- Pharmacist
- Villa Park, IL
National Provider Identifier
1720600992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051290349
- Practice address
- 900 S. RT 83
Villa Park, IL 60181 - Phone
- (630) 530-5305
- NPI assigned
- May 11, 2020
- Last updated
- May 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051290349 | IL | Primary |
Addresses
Primary practice location
900 S. RT 83
Villa Park, IL 60181
Mailing address
123 Collen CT
Lombard, IL 60148-4405
Phone (630) 317-4330
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 |
|---|---|---|---|
| 051290349 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1720600992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 COLLEN CT",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484405",
"telephone_number": "630-317-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S. RT 83",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-530-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MARIAM",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051290349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.