Khaa LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KHAA LLC

Doing business as

Liberty Pharmacy & Medical Supplies

Practice address

19465 Deerfield Ave Ste 107
Leesburg, VA 20176-1702

Phone

(703) 629-6089

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Naeimeh Tabarani

Title

Owner

Phone

(703) 629-6686

Specialties & licenses 1

Addresses

Other names 1

• Liberty Pharmacy & Medical Supplies Doing business as

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1023696390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 107",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-629-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 107",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-629-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "TABARANI",
        "authorized_official_first_name": "NAEIMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-629-6686"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara Nan Kenny, LPC
• Sara Kent, PT
• Dawn Kerns
• Keshnar LLC
• Ronette Key, LCSW, MFT
• Annie C Khan, L.C.S.W.
• Arzoo Khan
• Jawad H Khan, MD
• Lyba Khan, PA
• Mnahil Khan

• Community/Retail Pharmacy in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.