Mujtaba Khan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0016022 Issued in CT

Practice address

926 Main St
East Hartford, CT 06108-2237

Phone

(860) 289-0000

Fax

(860) 289-0004

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Community Pharmacy Inc

  dba Riverside Pharmacy

  • Long Term Care Pharmacy
  • East Hartford, CT
  • NPI 1760181564
  NPD
• Community Pharmacy Inc

  dba Riverside Pharmacy

  • Community/Retail Pharmacy
  • East Hartford, CT
  • NPI 1922495563
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1205617040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082237",
            "telephone_number": "860-289-0000",
            "fax_number": "860-289-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082237",
            "telephone_number": "860-289-0000",
            "fax_number": "860-289-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUJTABA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0016022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Katz, DMD
• Rober Alan Katz, DMD
• Brandy Michelle Kennerson, LCSW
• Gregory L Kernisan, M.D.
• Khakwani Dental PC. (Asdaq Dental)
• Nicole Kidd-Taylor, LPC-A
• Michelle E Killingsworth, CNM
• Ivory Kimble
• Ronald Kimmel, MD
• Brenden Buddy King

• Pharmacist in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.