Individual provider Active NPI

Rouzan H. Srour, PHARMD

  • Pharmacist
  • Woodridge, IL
National Provider Identifier
1811658099
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051299313 Issued in IL
Practice address
940 S Frontage Rd Ste 500
Woodridge, IL 60517-5035
Phone
(630) 580-1700
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 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 051299313 IL Primary

Addresses

Primary practice location

940 S Frontage Rd Ste 500
Woodridge, IL 60517-5035

Mailing address

940 S Frontage Rd Ste 500
Woodridge, IL 60517-5035
Phone (630) 866-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PioneerRx

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
051299313ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medwiz Specialty Pharmacy, LLC CurrentSince Feb 26, 2023 Accepting new patients
Medwiz Specialty Pharmacy, LLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

940 S Frontage Rd
Ste 500
Woodridge, IL 60517
Phone (630) 580-1700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1811658099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD STE 500",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175035",
            "telephone_number": "630-866-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD STE 500",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175035",
            "telephone_number": "630-580-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROUR",
        "first_name": "ROUZAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051299313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PioneerRx",
            "affiliation": "N",
            "address_1": "940 S Frontage Rd Ste 500",
            "city": "Woodridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605175035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.