Active NPI
Khan Kah Fonkam, PHARMD
- Pharmacist
- Frederick, MD
National Provider Identifier
1376402073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30723
- Practice address
- 1518 Trafalgar LN
Frederick, MD 21701-2528 - Phone
- (408) 512-8464
- NPI assigned
- Jan 19, 2026
- 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 | 30723 | MD | Primary |
Addresses
Primary practice location
1518 Trafalgar LN
Frederick, MD 21701-2528
Mailing address
1518 Trafalgar LN
Frederick, MD 21701-2528
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30723 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1376402073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 TRAFALGAR LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217012528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 TRAFALGAR LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217012528",
"telephone_number": "408-512-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONKAM",
"first_name": "KHAN",
"middle_name": "KAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "30723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Diane Marie Foland, M.S.,B.C.B.A.
- Christopher Folland
- Juliette Fombi
- Carine Fominyam Nkang, REGISTERED NURSE
- Elvis Fonjungo, MD
- Elizabeth Fonyam
- Food Frame of Mind
- Foot and Ankle Care of Frederick, Inc
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.