Individual provider Active NPI

Ammar Alsukairi, PHARMACIST

  • Pharmacist
  • Annandale, VA
National Provider Identifier
1740959899
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100004197 Issued in DC
Practice address
4300 Backlick Rd
Annandale, VA 22003-3142
Phone
(703) 813-6050
NPI assigned
Sep 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100004197 DC Primary

Addresses

Primary practice location

4300 Backlick Rd
Annandale, VA 22003-3142

Mailing address

6594 Forest Dew CT
Springfield, VA 22152-2162
Phone (571) 253-9416

Other identifiers 1

IdentifierTypeStateIssuer
PH100004197OtherDCDC BOARD OF PHARMACY

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
PH100004197DCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 1, 2022 Accepting new patients
Walgreen Co PastSince Sep 23, 2021 Accepting new patients

Locations

4300 Backlick Rd
Annandale, VA 22003
Phone (703) 813-6050

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.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1740959899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6594 FOREST DEW CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522162",
            "telephone_number": "571-253-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033142",
            "telephone_number": "703-813-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSUKAIRI",
        "first_name": "AMMAR",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100004197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BOARD OF PHARMACY",
            "identifier": "PH100004197",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.