Khalid Bouziri, RPH

Primary specialty

SpecialistTaxonomy code 174400000X

License

05343651 Issued in NY

Practice address

559 Fulton St
Brooklyn, NY 11201-5309

Phone

(718) 643-9505

NPI assigned

Apr 6, 2010

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1205151933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015309",
            "telephone_number": "718-643-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015309",
            "telephone_number": "718-643-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 E 14 st",
            "address_purpose": "LOCATION",
            "city": "new york",
            "state": "NY",
            "postal_code": "100033903",
            "country_code": "US",
            "telephone_number": "212-358-8206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUZIRI",
        "first_name": "KHALID",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "05343651",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Samuel Boutros, MD
• Catherine Boutsikakis, RPH
• Anastasios Boutsis, M.S. SLP
• Danielle Bouyer
• Helen Bouzalas, RD, CDN
• Sophia Bouzrara
• Kendra Bova
• Joseph J Bove, MD
• Stephen Edward Bove, D.D.S
• Cheryl Bovell

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.