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
- Last updated
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.