Active NPI
Ilie Khalifeh
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1457532475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050804
- Practice address
- 416 Knickerbocker Ave
Brooklyn, NY 11237-4517 - Phone
- (718) 919-6211
- NPI assigned
- Nov 19, 2007
- 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 | 050804 | NY | Primary |
Addresses
Primary practice location
416 Knickerbocker Ave
Brooklyn, NY 11237-4517
Mailing address
2218 E 7TH St
Brooklyn, NY 11223-4934
Phone (718) 627-3253
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1457532475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 E 7TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234934",
"telephone_number": "718-627-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374517",
"telephone_number": "718-919-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIFEH",
"first_name": "ILIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.