Active NPI
Bassam Khalil, PHARMD
- Pharmacist
- Fair Lawn, NJ
National Provider Identifier
1497351472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03799700
- Practice address
- 18-35 River Rd
Fair Lawn, NJ 07410-1244 - Phone
- (201) 791-0012
- NPI assigned
- Dec 7, 2020
- Last updated
- Dec 7, 2020
- 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 | 28RI03799700 | NJ | Primary |
Addresses
Primary practice location
18-35 River Rd
Fair Lawn, NJ 07410-1244
Mailing address
18-35 River Rd
Fair Lawn, NJ 07410-1244
Phone (201) 791-0012
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 |
|---|---|---|---|
| 28RI03799700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1497351472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18-35 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101244",
"telephone_number": "201-791-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18-35 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101244",
"telephone_number": "201-791-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "BASSAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03799700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
- Kesher Counseling LLC (Chana Brauser Counseling)
- Kessler Institute for Rehabilitation Inc
- Kessler Institute for Rehabilitation Inc
- Ketamine Care Mental Health Counseling LLC (Katamine Care Counseling)
- Albert E Khalaf, D.C.
- Nosheen Khawaja
- Shivani Khetani, MD
- Matthew Chieng Khowong, PHARM.D
- Mark L Khurgin, PT
- Kidkare Medical PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.