Avicenna Pharmacy – Community/Retail Pharmacy, NPI 1437420460

Avicenna Pharmacy is a healthcare provider. based in Oak lawn, Illinois. specializing in Community/Retail Pharmacy. The organization holds a License No. 054017745 (IL). The NPI Number for Avicenna Pharmacy is 1437420460

Main info

Organization
Name
Avicenna Pharmacy
NPI
1437420460
Phone
(708) 529-7222
Address
10837 S CICERO AVE STE 110C
Authorized Official
AHMED MAHAFZAH OWNER, PIC, AO RPH
Enumeration Date
23 January 2012
Last Update Date
30 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Avicenna Pharmacy

  • 10837 S CICERO AVE STE 110C

    OAK LAWN, IL 604536459

    Phone: (708) 529-7222

    Fax: (708) 529-7325

    Type: Mailing

  • 10604 SOUTHWEST HWY STE 102

    CHICAGO RIDGE, IL 604152704

    Phone: (708) 930-5393

    Fax: (708) 529-3593

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220201000585OPharmacyILTBD
O20220406000046OIndependent Clinical LaboratoryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count3,424230$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Reviews

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Frequently asked questions

Where can patients find Avicenna Pharmacy's NPI?
You can confirm Avicenna Pharmacy with NPI 1437420460; it appears in the national provider directory.
Is Avicenna Pharmacy's NPI currently valid?
The extract we use shows Avicenna Pharmacy as active.
What kind of provider is Avicenna Pharmacy?
The page reflects Community/Retail Pharmacy for Avicenna Pharmacy. Clinical services aligned with this taxonomy classification.
Where does public data place Avicenna Pharmacy?
The snapshot lists Oak Lawn, Illinois for Avicenna Pharmacy; download NPPES for the complete set.
Is Avicenna Pharmacy a real provider?
This page reflects official NPPES data for NPI 1437420460. Always confirm identity and privileges with the practice and licensing boards.

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