Khalifa Health Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

026106 Issued in NY

Legal business name

KHALIFA HEALTH INC

Practice address

900 Route 376
Nesheiwat Square Suite Q
Wappingers Falls, NY 12590-6377

Phone

(845) 223-8003

Fax

(845) 223-9933

NPI assigned

Nov 10, 2005

Organization subpart

Yes

Parent organization

HEALTH LINE LLCAs reported in NPPES

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

Authorized official

Name

Engy Khalifa

Title

Officer

Phone

(845) 223-8003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Health Line LLC

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1104807601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "address_2": "NESHEIWAT SQUARE SUITE Q",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906377",
            "telephone_number": "845-223-8003",
            "fax_number": "845-223-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "address_2": "NESHEIWAT SQUARE SUITE Q",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906377",
            "telephone_number": "845-223-8003",
            "fax_number": "845-223-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIFA HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH LINE LLC",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "ENGY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "845-223-8003"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02415447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaw Health Care Provider Services, LLC
• Bryan Kellogg, DPT
• Amy Kelly, CFNP
• Brittany Kennedy
• Kenneth Joseph Kerrs II, LCSWR
• Rita Kimball, NP-P
• Nancy Kiss, LPN
• Linda M. Kleinhenz, OD
• Niko Konan, LPN
• Johanna Korby, LMHC, CASAC

• Pharmacy in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.