Active NPI
Masooma R Khan, RPH
- Pharmacist
- Southbury, CT
National Provider Identifier
1124666326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0014680
- Practice address
- 22 Depot Hill Rd
Southbury, CT 06488-2258 - Phone
- (203) 262-1831
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- 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 | 0014680 | CT | Primary |
Addresses
Primary practice location
22 Depot Hill Rd
Southbury, CT 06488-2258
Mailing address
675 Propp Ave
Franklin Square, NY 11010-3513
Phone (857) 264-6457
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014680 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1124666326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 PROPP AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103513",
"telephone_number": "857-264-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 DEPOT HILL RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882258",
"telephone_number": "203-262-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MASOOMA",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0014680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.