Active NPI
Toraj Khalatbary, PHARM D
- Pharmacist
- Belmont, MA
National Provider Identifier
1003364159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 25334
- Practice address
- 87 Country Club LN
Belmont, MA 02478-1121 - Phone
- (617) 699-9079
- NPI assigned
- Sep 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | PH 25334 | MA | Primary |
Addresses
Primary practice location
87 Country Club LN
Belmont, MA 02478-1121
Mailing address
PO Box 231025
Boston, MA 02123-1025
Phone (617) 699-9079
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 25334 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1003364159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231025",
"city": "BOSTON",
"state": "MA",
"postal_code": "021231025",
"telephone_number": "617-699-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 COUNTRY CLUB LN",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781121",
"telephone_number": "617-699-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALATBARY",
"first_name": "TORAJ",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH 25334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.