Active NPI
Maimouna Owaida
- Pharmacist
- Blue Island, IL
National Provider Identifier
1942047345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051305791
- Practice address
- 3046 West 127TH St
Blue Island, IL 60406 - Phone
- (847) 750-4903
- NPI assigned
- Jul 11, 2024
- Last updated
- Jul 11, 2024
- 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 | 051305791 | IL | Primary |
Addresses
Primary practice location
3046 West 127TH St
Blue Island, IL 60406
Mailing address
7040 W 130TH St
Palos Heights, IL 60463
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 |
|---|---|---|---|
| 051305791 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1942047345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 W 130TH ST",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3046 WEST 127TH ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "60406",
"telephone_number": "847-750-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWAIDA",
"first_name": "MAIMOUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051305791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.