Individual provider Active NPI

Hala Khoulani, RPH

  • Pharmacist
  • Flint, MI
National Provider Identifier
1336790799
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301010507 Issued in MI
Practice address
1260 S Linden Rd
Flint, MI 48532-3407
Phone
(810) 820-9855
Fax
(810) 720-3899
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5301010507 MI Primary

Addresses

Primary practice location

1260 S Linden Rd
Flint, MI 48532-3407

Mailing address

1260 S Linden Rd
Flint, MI 48532-3407
Phone (810) 820-9855

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
5301010507MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1336790799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-820-9855",
            "fax_number": "810-720-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-820-9855",
            "fax_number": "810-720-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOULANI",
        "first_name": "HALA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301010507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.