Individual provider Active NPI

Wajiha Ahmed, PHARM D

  • Pharmacist
  • Berwyn, IL
National Provider Identifier
1881979318
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.291500 Issued in IL
Practice address
7113 Cermak Rd
Berwyn, IL 60402-2103
Phone
(708) 795-9030
Fax
(708) 795-8032
NPI assigned
Oct 16, 2011
Last updated
Oct 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.291500 IL Primary

Addresses

Primary practice location

7113 Cermak Rd
Berwyn, IL 60402-2103

Mailing address

1384 Campbell Ave
Des Plaines, IL 60016-6526
Phone (630) 235-8102

Other names 1

  • Wajiha Iqbal Former name

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
051.291500ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1881979318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 CAMPBELL AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166526",
            "telephone_number": "630-235-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022103",
            "telephone_number": "708-795-9030",
            "fax_number": "708-795-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "WAJIHA",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.291500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAJIHA",
            "last_name": "IQBAL",
            "credential": "PAHRM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.