Individual provider Active NPI

Sabin Juma, PHARM. D

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1124302534
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-286744 Issued in IL
Practice address
3358 N Western Ave
Walgreens. St 00259
Chicago, IL 60618-6213
Phone
(773) 327-2111
Fax
(773) 327-0859
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-286744 IL Primary

Addresses

Primary practice location

3358 N Western Ave
Walgreens. St 00259
Chicago, IL 60618-6213

Mailing address

3358 N Western Ave
Walgreens. St 00259
Chicago, IL 60618-6213
Phone (773) 327-2111

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
051-286744ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1124302534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 N WESTERN AVE",
            "address_2": "WALGREENS. ST 00259",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186213",
            "telephone_number": "773-327-2111",
            "fax_number": "773-327-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 N WESTERN AVE",
            "address_2": "WALGREENS. ST 00259",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186213",
            "telephone_number": "773-327-2111",
            "fax_number": "773-327-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMA",
        "first_name": "SABIN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-286744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.