Individual provider Active NPI

Omar Sakkal, PHARM.D

  • Pharmacist
  • Pasadena, TX
National Provider Identifier
1073979266
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43561 Issued in TX
Practice address
1430 Pasadena Blvd Ste X
Pasadena, TX 77502-2414
Phone
(832) 740-4171
NPI assigned
Jan 5, 2016
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43561 TX Primary

Addresses

Primary practice location

1430 Pasadena Blvd Ste X
Pasadena, TX 77502-2414

Mailing address

102 Beaver Tail PT
Houston, TX 77024-6233
Phone (832) 724-3740

Other practice location 1

1430 Pasadena Blvd Ste B
Pasadena, TX 77502-2414
Phone (713) 429-1842

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

LicenseStateTypeSpecialty
43561TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Medical Plaza Pharmacy Past Accepting new patients
Pasadena Wecare Pharmacy Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1073979266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BEAVER TAIL PT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246233",
            "telephone_number": "832-724-3740",
            "fax_number": "713-861-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PASADENA BLVD STE X",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022414",
            "telephone_number": "832-740-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Pasadena Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775022414",
            "country_code": "US",
            "telephone_number": "713-429-1842",
            "fax_number": "281-857-6415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKKAL",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.