Individual provider Active NPI

Zahra Khambaty, PHARMD, MPHARM

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1235842816
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61143097 Issued in WA
Practice address
11022 NE 90TH Ave
Vancouver, WA 98662-1489
Phone
(479) 719-5221
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD15568 AR
Pharmacist 183500000X PH61143097 WA Primary

Addresses

Primary practice location

11022 NE 90TH Ave
Vancouver, WA 98662-1489

Mailing address

11022 NE 90TH Ave
Vancouver, WA 98662-1489

Other practice location 1

805 Bodie Ct SE
Lacey, WA 98513-4298
Phone (479) 719-5221

Other practice location 2

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-1974

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
PD15568ARMDPharmacist
PH61143097WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1235842816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 NE 90TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 NE 90TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621489",
            "telephone_number": "479-719-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Bodie Ct SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985134298",
            "country_code": "US",
            "telephone_number": "479-719-5221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMBATY",
        "first_name": "ZAHRA",
        "name_prefix": "Ms.",
        "credential": "PHARMD, MPHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15568",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61143097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.