Khadija Tul Kubra, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202217683 Issued in VA

Practice address

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Phone

(929) 231-7521

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1275242596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26597 MARBURY ESTATES DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526419",
            "telephone_number": "929-231-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "929-231-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRA",
        "first_name": "KHADIJA",
        "middle_name": "TUL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Anne Kozlowski, LPC
• Eric Lawrence Krivitsky, M.D.
• Erik M. Krushinski, MD
• Scott M. Krushinski, PA
• Kube and Associates, Inc.
• Kristin Kudarauskas, M.S., CCC-SLP
• Jordan Craig Kuhn, MD
• Sara Melissa Feldman Kuhn, LCSW-C, LCSW
• Taylor Kujawa, OD
• Justin Kula

• Pharmacist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.