Samina Khatri, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

025557 Issued in GA

Practice address

4025 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-2876

Phone

(770) 710-0478

Fax

(770) 710-0861

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lilburn Community Pharmacy

  • Community/Retail Pharmacy
  • Lilburn, GA
  • NPI 1134563406
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1497346365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 WHITESTONE CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803116",
            "telephone_number": "404-988-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 LAWRENCEVILLE HWY NW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472876",
            "telephone_number": "770-710-0478",
            "fax_number": "770-710-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "SAMINA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "025557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY LICENSE",
            "identifier": "025557",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Craig Kemp
• Kevin M. Lacour, DDS, PC
• Karim Khan, MD
• Muhammad Rabeel Khan
• Sahar Khan, PA
• Wajiha Khatri
• Mardiyah Khoulani, PHARMD
• Mnowar Khoulani
• Kids Doc Pediatrics
• Killian Hill Orthopaedic & Sports Medicine Clinic, PC

• Pharmacist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.