Individual provider Active NPI

Yazan Ammari, PHARM.D

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1093492340
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58955 Issued in FL
Practice address
681 Panther Lake Pkwy
Jacksonville, FL 32221-1392
Phone
(904) 469-5100
NPI assigned
Jun 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58955 FL Primary
Pharmacist 183500000X RPH033511 GA

Addresses

Primary practice location

681 Panther Lake Pkwy
Jacksonville, FL 32221-1392

Mailing address

1523 Chaffee Rd S Unit 12
Jacksonville, FL 32221-3830
Phone (904) 469-5100

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
PS58955FLMDPharmacist
RPH033511GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Pharmacy LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

1523 Chaffee Rd S
Unit 12
Jacksonville, FL 32221
Phone (904) 533-6564

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1093492340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CHAFFEE RD S UNIT 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213830",
            "telephone_number": "904-469-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 PANTHER LAKE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211392",
            "telephone_number": "904-469-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMARI",
        "first_name": "YAZAN",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58955",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.