Individual provider Active NPI

Mahmoud Abdelhai Khattab, RPH

  • Pharmacist
  • Fishers, IN
National Provider Identifier
1154931186
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26028971A Issued in IN
Practice address
10446 Olio Rd
Fishers, IN 46040-7500
Phone
(317) 762-3333
Fax
(317) 762-9999
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.302962 IL
Pharmacist 183500000X 26028971A IN Primary

Addresses

Primary practice location

10446 Olio Rd
Fishers, IN 46040-7500

Mailing address

10446 Olio Rd
Fishers, IN 46040-7500
Phone (317) 762-3333

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

LicenseStateTypeSpecialty
051.302962ILMDPharmacist
26028971AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Priceless RX LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

10446 Olio Rd
Fishers, IN 46040
Phone (317) 762-3333

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1154931186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10446 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460407500",
            "telephone_number": "317-762-3333",
            "fax_number": "317-762-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460407500",
            "telephone_number": "317-762-3333",
            "fax_number": "317-762-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "MAHMOUD",
        "middle_name": "ABDELHAI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.302962",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.