Active NPI
Ammar Sunbulli
- Pharmacist
- Chicago, IL
National Provider Identifier
1225624976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.302905
- Practice address
- 3200 W 26TH St
Chicago, IL 60623-4031 - Phone
- (773) 890-1800
- NPI assigned
- Dec 16, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 051.302905 | IL | Primary |
Addresses
Primary practice location
3200 W 26TH St
Chicago, IL 60623-4031
Mailing address
8573 Timber Ridge Dr
Burr Ridge, IL 60527-5691
Phone (630) 209-4544
Other practice location 1
14290 S La Grange Rd
Orland Park, IL 60462-2023
Phone (708) 403-2356
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 |
|---|---|---|---|
| 051.302905 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-3 Pharma | Pharmacist | Current | Accepting new patients |
| Mexicare Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacist
- Darien, IL
- NPI 1790629061
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1205061124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1225624976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8573 TIMBER RIDGE DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275691",
"telephone_number": "630-209-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234031",
"telephone_number": "773-890-1800"
}
],
"practiceLocations": [
{
"address_1": "14290 S La Grange Rd",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622023",
"country_code": "US",
"telephone_number": "708-403-2356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNBULLI",
"first_name": "AMMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.302905",
"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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.