Active NPI
Madiou Diallo, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1881472702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457928
- Practice address
- 2001 Pennsylvania Ave
Philadelphia, PA 19130-3823 - Phone
- (215) 575-9227
- NPI assigned
- Sep 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | RP457928 | PA | Primary |
Addresses
Primary practice location
2001 Pennsylvania Ave
Philadelphia, PA 19130-3823
Mailing address
2550 S Shields St
Philadelphia, PA 19142-2712
Phone (215) 626-1867
Other practice location 1
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 368-2100
Other practice location 2
600 Hatton Dr
Glen Mills, PA 19342-3317
Phone (610) 808-9055
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 |
|---|---|---|---|
| RP457928 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- West Chester, PA
- NPI 1639063571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1881472702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 S SHIELDS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191422712",
"telephone_number": "215-626-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PENNSYLVANIA AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303823",
"telephone_number": "215-575-9227"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Campus Dr",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "194461259",
"country_code": "US",
"telephone_number": "215-368-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Hatton Dr",
"address_purpose": "LOCATION",
"city": "Glen Mills",
"state": "PA",
"postal_code": "193423317",
"country_code": "US",
"telephone_number": "610-808-9055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIALLO",
"first_name": "MADIOU",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.