Individual provider Active NPI

Sameh Attia, PHARMA-D

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1275252678
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.292423 Issued in IL
Practice address
3401 W Roosevelt Rd
Chicago, IL 60624-4339
Phone
(773) 542-1232
Fax
(773) 542-8327
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.292423 IL Primary

Addresses

Primary practice location

3401 W Roosevelt Rd
Chicago, IL 60624-4339

Mailing address

5101 N Cumberland Ave
Norridge, IL 60706-3028
Phone (708) 953-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.walgreens.com Direct WALGREENS

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

LicenseStateTypeSpecialty
051.292423ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1275252678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N CUMBERLAND AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063028",
            "telephone_number": "708-953-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244339",
            "telephone_number": "773-542-1232",
            "fax_number": "773-542-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIA",
        "first_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "PHARMA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.292423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "walgreens",
            "affiliationName": "WALGREENS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3401 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606244339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 26, 2022; 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.