Individual provider Active NPI

Kholoud Ali, RPH

  • Pharmacist
  • West Windsor, NJ
National Provider Identifier
1295309052
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03830700 Issued in NJ
Practice address
2025 Old Trenton Rd Ste 4
West Windsor, NJ 08550-2412
Phone
(609) 426-0441
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03830700 NJ Primary

Addresses

Primary practice location

2025 Old Trenton Rd Ste 4
West Windsor, NJ 08550-2412

Mailing address

F7 Lincoln LN
Dayton, NJ 08810-1362

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03830700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daksha Sairam LLC CurrentSince May 25, 2021 Accepting new patients
Family Pharmacy, LLC. CurrentSince May 25, 2021 Accepting new patients

Locations

2025 Old Trenton Rd
Ste 4
West Windsor, NJ 08550
Phone (609) 426-0441

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1295309052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F7 LINCOLN LN",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 OLD TRENTON RD STE 4",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085502412",
            "telephone_number": "609-426-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "KHOLOUD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03830700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.