Nassar Pharm, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NASSAR PHARM, LLC

Doing business as

Sunnyside Pharmacy

Practice address

2695 E Lincoln Ave Ste C
Sunnyside, WA 98944-4003

Phone

(509) 515-0625

Fax

(509) 515-0631

NPI assigned

Dec 4, 2023

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Udi Nassar, PHARMDNPI 1124587878

Title

Owner

Phone

(509) 840-0325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunnyside Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Udi Nassar, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sunnyside, WA
  • NPI 1124587878
  NPD Authorized official
• Samer Nassar

  • Student in an Organized Health Care Education/Training Program
  • Sunnyside, WA
  • NPI 1174131403
  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1689441388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 E LINCOLN AVE STE C",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989444003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 E LINCOLN AVE STE C",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989444003",
            "telephone_number": "509-515-0625",
            "fax_number": "509-515-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAR PHARM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "UDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-840-0325",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270935",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunnyside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick James Moran, DO
• Marissa L. Morfin, L.M.P.
• Ingrid E. Mortensen, L.M.P.
• Richard J Mynatt, MD
• N.S. Khurana,DMD, VI, PLLC (Smile Now Orthodontics)
• Samer Nassar
• Udi Nassar, PHARMD
• Navjot S Khurana DMD, PS (Radiant Smiles)
• Anne Marguerite Nealen, M.D.
• Richard Loren Nelson, R PH

• Community/Retail Pharmacy in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.