Active NPI
Dewaa Ali, PHARMD
- Pharmacist
- Elgin, IL
National Provider Identifier
1932576188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051298943
- Practice address
- 300 S Randall Rd
Elgin, IL 60123-5525 - Phone
- (847) 841-0988
- NPI assigned
- Aug 24, 2015
- Last updated
- Oct 5, 2015
- 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 | 051298943 | IL | Primary |
Addresses
Primary practice location
300 S Randall Rd
Elgin, IL 60123-5525
Mailing address
1501 Yosemite Cir
Crystal Lake, IL 60014-1919
Phone (414) 550-9112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051298943 | Other | IL | IDFPR |
| 18200-40 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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 |
|---|---|---|---|
| 051298943 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1932576188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 YOSEMITE CIR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600141919",
"telephone_number": "414-550-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235525",
"telephone_number": "847-841-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "DEWAA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051298943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "051298943",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
"identifier": "18200-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.