Individual provider Active NPI

Fatima A Khaja, PHARMD, PHD

  • Pharmacist
  • Panama City, FL
National Provider Identifier
1184325219
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS62508 Issued in FL
Practice address
3104 W 23Rd St
Panama City, FL 32405-1829
Phone
(850) 215-7455
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 051.294738 IL
Pharmacist 183500000X PS62508 FL Primary

Addresses

Primary practice location

3104 W 23Rd St
Panama City, FL 32405-1829

Mailing address

461 Wahoo Rd
Panama City Beach, FL 32408-7266
Phone (847) 338-7975

Other practice location 1

3101 US-98
Panama City, FL 32401
Phone (850) 785-1419

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 Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS62508FLMDPharmacist
051.294738ILMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Express Pharmacy of Panama City Inc CurrentSince May 7, 2024 Accepting new patients

Locations

3104 W 23rd St
Panama City, FL 32405
Phone (850) 215-7455

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1184325219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WAHOO RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087266",
            "telephone_number": "847-338-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051829",
            "telephone_number": "850-215-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 US-98",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32401",
            "country_code": "US",
            "telephone_number": "850-785-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAJA",
        "first_name": "FATIMA",
        "middle_name": "A",
        "credential": "PHARMD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IL",
            "license": "051.294738",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.