Active NPI
Mohammad Awais Khan, RPH
- Pharmacist
- West New York, NJ
National Provider Identifier
1306594155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04139600
- Practice address
- 5300 Bergenline Ave
West New York, NJ 07093-5616 - Phone
- (201) 974-0818
- NPI assigned
- Mar 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04139600 | NJ | Primary |
Addresses
Primary practice location
5300 Bergenline Ave
West New York, NJ 07093-5616
Mailing address
44 Contant Ave FL 2
Lodi, NJ 07644-1703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04139600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1306594155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CONTANT AVE FL 2",
"city": "LODI",
"state": "NJ",
"postal_code": "076441703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935616",
"telephone_number": "201-974-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MOHAMMAD",
"middle_name": "AWAIS",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04139600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.