Active NPI
Zaman Khan, PHARM.D
- Pharmacotherapy Pharmacist
- Lodi, CA
National Provider Identifier
1164711628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 48893
- Practice address
- 115 E Pine St
Lodi, CA 95240-2210 - Phone
- (800) 853-0651
- Fax
- (800) 985-9412
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 48893 | CA | Primary |
Addresses
Primary practice location
115 E Pine St
Lodi, CA 95240-2210
Mailing address
PO Box 1804
Lodi, CA 95241-1804
Phone (209) 712-7853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48893 | Other | CA | BOARD OF PHARMACY |
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1164711628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1804",
"city": "LODI",
"state": "CA",
"postal_code": "952411804",
"telephone_number": "209-712-7853",
"fax_number": "209-368-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E PINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952402210",
"telephone_number": "800-853-0651",
"fax_number": "800-985-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ZAMAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "48893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "48893",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.