Active NPI
Kholoud M Aldaqs
- Pharmacist
- Mansfield, TX
National Provider Identifier
1356678346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43104
- Practice address
- 750 N Walnut Creek Dr
Mansfield, TX 76063-3208 - Phone
- (817) 477-5271
- NPI assigned
- Nov 11, 2009
- Last updated
- Nov 11, 2009
- Sex
- Female
- 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 | 43104 | TX | Primary |
Addresses
Primary practice location
750 N Walnut Creek Dr
Mansfield, TX 76063-3208
Mailing address
750 N Walnut Creek Dr
Mansfield, TX 76063-3208
Phone (817) 477-5271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43104 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1356678346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N WALNUT CREEK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633208",
"telephone_number": "817-477-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N WALNUT CREEK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633208",
"telephone_number": "817-477-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDAQS",
"first_name": "KHOLOUD",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "43104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
- Gustave Nose Alberti, M.D.
- Albertsons LLC (Albertsons Savon Pharmacy)
- Sado Suhail Albitar, M.D.
- Ashley Necole Alcalan
- Liliana Rocio Alcas, MSN, APRN, FNP
- Garish Kurian Alexander, M.D.
- Heidi Alexander, OTR
- Latifah Alexander, M.S., CCC-SLP
- Lareshia Annette Alfred
- Alice Elizabeth Ward (Transformation Begins Within)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.