Active NPI
Ammar Alsukairi, PHARMACIST
- Pharmacist
- Annandale, VA
National Provider Identifier
1740959899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100004197
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH100004197 | Other | DC | DC 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH100004197 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Pharmacy
- Annandale, VA
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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.