AVICENNA PHARMACY
NPI 1437420460
Pharmacy - Community/Retail Pharmacy in Oak Lawn, IL

Q: What is Avicenna Pharmacy Inc's NPI number?

The NPI number for Avicenna Pharmacy Inc is 1437420460. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Avicenna Pharmacy.

Q: What is Avicenna Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since January 23, 2012

10837 S CICERO AVE STE 110C, OAK LAWN, IL 60453(708) 529-7222(708) 529-7325 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2023, Jan 19, 2016, Jan 13, 2016 (3 updates tracked since 2016).

On this page

About Avicenna Pharmacy NPPES

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

AVICENNA PHARMACY (NPI 1437420460) is a healthcare organization registered as a community/retail pharmacy in Oak Lawn, Illinois and active in the NPI registry since January 2012. The organization lists Ahmed Mahafzah, Owner, Pic, Ao, as its authorized official.

NPPES Registry Identity

NPI1437420460

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameAVICENNA PHARMACY INC

Location Address10837 S CICERO AVE STE 110COak Lawn, IL 60453-6459

Mailing Address10604 Southwest Hwy Ste 102Chicago Ridge, IL 60415-2704 · (708) 930-5393 · Fax (708) 529-3593

Phone(708) 529-7222

Fax(708) 529-7325

Organization SubpartNo

Authorized OfficialAhmed MahafzahOwner, Pic, Ao · (708) 529-7222

Enumeration DateJanuary 23, 2012

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1437420460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IL · 054017745

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

10837 S CICERO AVE STE 110C, Oak Lawn, IL 60453

Open in Google Maps ↗

Other Names 1

Doing Business AsAvicenna Pharmacy

Other Identifiers 1

Other2133562Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avicenna Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20220201000585Non-DME Part B · PharmacyDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

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

AHMED MAHAFZAH PHARM.D

Pharmacist

10837 S CICERO AVE STE 110C
OAK LAWN, IL 60453

Cook County (708) 529-7222

AVICENNA PHARMACY INC

Pharmacy (Long Term Care Pharmacy)

10837 S CICERO AVE STE 110C
OAK LAWN, IL 60453

Cook County (708) 529-7222

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 Avicenna Pharmacy Inc's NPI number?

The NPI number for Avicenna Pharmacy Inc is 1437420460. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Avicenna Pharmacy.

Where is Avicenna Pharmacy Inc located?

Avicenna Pharmacy Inc is located at 10837 S Cicero Ave Ste 110C, Oak Lawn, IL 60453. The listed phone number is (708) 529-7222.

What is Avicenna Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Avicenna Pharmacy Inc enrolled in Medicare?

Yes. Avicenna Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Avicenna Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Avicenna Pharmacy Inc accept?

Health plans from Moda Health Plan, Inc. list Avicenna Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avicenna Pharmacy Inc was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.