Mohammed Wahabuddin Khurram, D.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

31794 Issued in TN

Practice address

2100 Lowes Dr
Clarksville, TN 37040-6688

Phone

(931) 906-3181

NPI assigned

Mar 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Clarksville, TN
  • NPI 1558386276
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1003115262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 POPLAR HL",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370437826",
            "telephone_number": "931-241-9862",
            "fax_number": "931-906-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LOWES DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406688",
            "telephone_number": "931-906-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURRAM",
        "first_name": "MOHAMMED",
        "middle_name": "WAHABUDDIN",
        "credential": "D.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "31794",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robeer M Kfouf, RBT
• Rojeena Kfouf
• Amna Khan
• Asma Khan
• Brittany Khanna, RBT
• Margaret W Kibuku
• Aaron G Kidd, PA-C
• Kids-at-Play Pediatric Therapy Services, LLC
• Abigail Martin Kieffer
• Alyssa Kihara, OTD, OTR/L

• Pharmacist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; 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.