Active NPI
Dima Hadidi
- Pharmacist
- Aurora, IL
National Provider Identifier
1922593839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.300093
- Practice address
- 475 N Farnsworth Ave
Aurora, IL 60505-3004 - Phone
- (630) 820-3360
- NPI assigned
- Jun 25, 2018
- 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 | 051.300093 | IL | Primary |
Addresses
Primary practice location
475 N Farnsworth Ave
Aurora, IL 60505-3004
Mailing address
1121 W Washburne Ave Unit 201
Chicago, IL 60608-2085
Phone (716) 361-5649
Other practice location 1
235 W 95th ST
Chicago, IL 60628
Phone (773) 340-4445
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.300093 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luna Pharmacy II LLC | 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.
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1124547849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1922593839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 W WASHBURNE AVE UNIT 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082085",
"telephone_number": "716-361-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 N FARNSWORTH AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605053004",
"telephone_number": "630-820-3360"
}
],
"practiceLocations": [
{
"address_1": "235 W 95th ST",
"address_purpose": "LOCATION",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60628",
"country_code": "US",
"telephone_number": "773-340-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADIDI",
"first_name": "DIMA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.300093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.