Individual provider Active NPI

Anees Unisa Khan, REGESTERED PHARMACIS

  • Pharmacist
  • Plainfield, IL
National Provider Identifier
1245514272
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-287193 Issued in IL
Practice address
24801 W 135TH St
Plainfield, IL 60544-5413
Phone
(815) 577-1039
Fax
(815) 577-1701
NPI assigned
Oct 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-287193 IL Primary

Addresses

Primary practice location

24801 W 135TH St
Plainfield, IL 60544-5413

Mailing address

24801 W 135TH St
Plainfield, IL 60544-5413
Phone (815) 577-1039

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

State licenses

LicenseStateTypeSpecialty
051-287193ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1245514272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 W 135TH ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445413",
            "telephone_number": "815-577-1039",
            "fax_number": "815-577-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 W 135TH ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445413",
            "telephone_number": "815-577-1039",
            "fax_number": "815-577-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANEES",
        "middle_name": "UNISA",
        "credential": "REGESTERED PHARMACIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-287193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.