DESSANE KOMI TOMBOOUDA
NPI 1356910129
Pharmacist in Chicago, IL

Active since June 24, 2021
11 E 75TH ST, CHICAGO, IL 60619(773) 224-1211 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dessane Komi Tomboouda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESSANE KOMI TOMBOOUDA (NPI 1356910129) is an individual pharmacist in Chicago, Illinois, licensed in Illinois (051303773) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1356910129
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDESSANE KOMI TOMBOOUDA
Location Address11 E 75TH STChicago, IL 60619-1601
Mailing Address11 E 75th St Chicago, IlChicago, IL 60619 · (773) 224-1211
Sole ProprietorYes
Enumeration DateJune 24, 2021
NPPES CertifiedJune 5, 2021
NPI 1356910129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051303773
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
11 E 75TH ST, Chicago, IL 60619

Other Identifiers 1

Medicaid306304197IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619
Eyewear Supplier
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619
Pharmacist
11 E 75TH ST
CHICAGO, IL 60619

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dessane Tomboouda's NPI number?

The NPI number for Dessane Tomboouda is 1356910129. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Dessane Tomboouda located?

Dessane Tomboouda practices at 11 E 75th St, Chicago, IL 60619. The listed phone number is (773) 224-1211.

What is Dessane Tomboouda's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Dessane Tomboouda was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.