Active NPI
Amna N Khan
- Pharmacist
- Mason, MI
National Provider Identifier
1154611473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036161
- Practice address
- 610 N Cedar St
Mason, MI 48854-1017 - Phone
- (517) 676-4421
- NPI assigned
- Apr 8, 2011
- Last updated
- Apr 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 5302036161 | MI | Primary |
Addresses
Primary practice location
610 N Cedar St
Mason, MI 48854-1017
Mailing address
4495 Heritage Ave
Apt B-3
Okemos, MI 48864-3308
Phone (517) 347-6121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302036161 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingham LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1154611473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 HERITAGE AVE",
"address_2": "APT B-3",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643308",
"telephone_number": "517-347-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N CEDAR ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541017",
"telephone_number": "517-676-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AMNA",
"middle_name": "N",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.