Khwaja Haris Ahmed Talha, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26030031A Issued in IN

Practice address

1301 S Adams St Apt 20
Bloomington, IN 47403-2197

Phone

(443) 388-3960

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1023735354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S ADAMS ST APT 20",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032197",
            "telephone_number": "443-388-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S ADAMS ST APT 20",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032197",
            "telephone_number": "443-388-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALHA",
        "first_name": "KHWAJA",
        "middle_name": "HARIS AHMED",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030031A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W265140758",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "H.talha@live.com",
            "affiliation": "N",
            "address_1": "1301 S Adams St Apt 20",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474032197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marissa Suzanne Tabor
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• Mitch Taffe, M.S., ATC, CSCS
• Layne Steele Tait, MD
• Zachary J Talaga, DO
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• Jerica Morgan Tannehill
• Deqi Tao, PA-C
• Paul Stanley Taraska, M.D.
• Arvin Terence Tatco

• Pharmacist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.