Active NPI
Ali Nawaz Khan, PHARMACIST
- Pharmacist
- Millville, NJ
National Provider Identifier
1386257087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04003100
- Practice address
- 1111 High St N
Millville, NJ 08332-2528 - Phone
- (856) 293-9717
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI04003100 | NJ | Primary |
Addresses
Primary practice location
1111 High St N
Millville, NJ 08332-2528
Mailing address
1111 High St N
Millville, NJ 08332-2528
Phone (856) 293-9717
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 |
|---|---|---|---|
| 28RI04003100 | NJ | MD | Pharmacist |
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": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1386257087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HIGH ST N",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322528",
"telephone_number": "856-293-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HIGH ST N",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322528",
"telephone_number": "856-293-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ALI",
"middle_name": "NAWAZ",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04003100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millville, NJ
- Sonal Tapan Joshi, OTR
- Joy of Life Adult Day Care Center LLC
- Juniper Village at Millville, LLC (Maurice House)
- Jaspreet Kaur, PHARMD
- Abdullah Kaymak
- Kidney Center at Millville LLC (Kidney Center at Millville)
- Jesselyne Kline, MSOT
- Knowles Pharmacy Inc.
- George Georgi Kourakin, D.M.D.
- Mary Kourakin, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.