Amali, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-016478 Issued in IL

Legal business name

AMALI, INC

Doing business as

Roseland Pharmacy One

Practice address

104 West 111TH Street
Chicago, IL 60628

Phone

(773) 660-8606

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Fouad Hallak

Title

President

Phone

(773) 660-8606

Specialties & licenses 1

Addresses

Other names 1

• Roseland Pharmacy One Doing business as

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1497084818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WEST 111TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-660-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST 111TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-660-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "HALLAK",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-660-8606"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-016478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseland Pharmacy One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amalgam Care
• Amalia Golomb-Leavitt LCSW LLC
• Bushrah Amamaalikulmulk
• Casey Thomas Aman, MD
• Zoha Aman
• Amana Behavioral Health

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.