Individual provider Active NPI

Elhaum Khobahy, PHARM.D.

  • Ambulatory Care Pharmacist
  • Dallas, TX
National Provider Identifier
1215652730
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
58800 Issued in TX
Practice address
5184 Tex Oak Ave
Dallas, TX 75235-7822
Phone
(469) 419-1830
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 58800 TX Primary

Addresses

Primary practice location

5184 Tex Oak Ave
Dallas, TX 75235-7822

Mailing address

5184 Tex Oak Ave
Dallas, TX 75235-7822
Phone (469) 419-1830

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC Dallas County Hospital District

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

LicenseStateTypeSpecialty
58800TXMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1215652730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 TEX OAK AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357822",
            "telephone_number": "469-419-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5184 TEX OAK AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357822",
            "telephone_number": "469-419-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOBAHY",
        "first_name": "ELHAUM",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "58800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "affiliationName": "Dallas County Hospital District",
            "address_1": "5184 Tex Oak Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752357822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.