Active NPI
Safi M Khan, PHARMD
- Pharmacist
- Morton Grove, IL
National Provider Identifier
1245902618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051300987
- Practice address
- 6906 Lyons St, Morton Grove, Il 60053
Morton Grove, IL 60053 - Phone
- (773) 829-5644
- NPI assigned
- Oct 4, 2021
- Last updated
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-15771 | MS | |
| Pharmacist | 183500000X | 26026881A | IN | |
| Pharmacist | 183500000X | 051300987 | IL | Primary |
Addresses
Primary practice location
6906 Lyons St, Morton Grove, Il 60053
Morton Grove, IL 60053
Mailing address
6906 Lyons St, Morton Grove, Il 60053
Morton Grove, IL 60053
Phone (773) 829-5644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051300987 | IL | MD | Pharmacist |
| 26026881A | IN | MD | Pharmacist |
| T-15771 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1245902618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6906 LYONS ST, MORTON GROVE, IL 60053",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "773-829-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6906 LYONS ST, MORTON GROVE, IL 60053",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "773-829-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAFI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-15771",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026881A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051300987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.