Active NPI
Samy Samir Khalil
- Pharmacist
- Omaha, NE
National Provider Identifier
1699037408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13835
- Practice address
- 4001 N 132ND St
Omaha, NE 68164-1839 - Phone
- (402) 431-9161
- NPI assigned
- Jun 8, 2012
- 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 | 13835 | NE | Primary |
Addresses
Primary practice location
4001 N 132ND St
Omaha, NE 68164-1839
Mailing address
8001 Lincoln Ave Ste 800
Skokie, IL 60077-3695
Phone (800) 553-7359
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 |
|---|---|---|---|
| 13835 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPH on the Go USA | Past | Accepting new patients | |
| RPH on the Go, USA | Pharmacist | 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.
-
- Public Health or Welfare Agency
- Bryant, AR
- NPI 1942603048
-
- Pharmacist
- Skokie, IL
- NPI 1184032377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1699037408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 LINCOLN AVE STE 800",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773695",
"telephone_number": "800-553-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N 132ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641839",
"telephone_number": "402-431-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "SAMY",
"middle_name": "SAMIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.