Active NPI
Haymish Khan, PHARMD
- Pharmacist
- Long Beach, CA
National Provider Identifier
1184316457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17528
- Practice address
- 1043 E 5TH St Apt 102
Long Beach, CA 90802-1667 - Phone
- (562) 370-5000
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- Sex
- Male
- 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 | 17528 | NE | Primary |
Addresses
Primary practice location
1043 E 5TH St Apt 102
Long Beach, CA 90802-1667
Mailing address
PO Box 8265
Huntington Beach, CA 92615-8265
Phone (562) 209-2611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17528 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1184316457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8265",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926158265",
"telephone_number": "562-209-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 E 5TH ST APT 102",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021667",
"telephone_number": "562-370-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HAYMISH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "17528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.