Active NPI
Mahmoud Sami Abushama
- Pharmacist
- Peoria, IL
National Provider Identifier
1134070345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.306796
- Practice address
- 9219 N Lindbergh Dr
Peoria, IL 61615-1425 - Phone
- (309) 691-8701
- NPI assigned
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.306796 | IL | Primary |
Addresses
Primary practice location
9219 N Lindbergh Dr
Peoria, IL 61615-1425
Mailing address
7150 N Terra Vista Dr Apt 501
Peoria, IL 61614-1350
Phone (309) 691-8701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.306796 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1134070345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 N TERRA VISTA DR APT 501",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141350",
"telephone_number": "309-691-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9219 N LINDBERGH DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151425",
"telephone_number": "309-691-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUSHAMA",
"first_name": "MAHMOUD",
"middle_name": "SAMI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.306796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
- Bassel Elia Abouzeid, MD
- Hrudya Abraham, MD
- Susan Abraham, M.D.
- Kelly Abrams, DDS
- Amjad Mahmoud Abualsuod, MD
- Accelerated Rehabiliation Centers LTD
- Accelerated Rehabilitation Centers, LTD
- Accelerated Rehabilitation Centers, LTD
- Accelerated Rehabilitation Centers, LTD
- Access Dental of Peoria Optim LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.