Individual provider Active NPI

Anas Daher Alkhatib

  • Pharmacist
  • Houston, TX
National Provider Identifier
1508507823
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68586 Issued in TX
Practice address
360 Cypress Creek Pkwy # 395
Houston, TX 77090-3518
Phone
(281) 397-6622
NPI assigned
Apr 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68586 TX Primary

Addresses

Primary practice location

360 Cypress Creek Pkwy # 395
Houston, TX 77090-3518

Mailing address

360 Cypress Creek Pkwy # 395
Houston, TX 77090-3518
Phone (281) 397-6622

Other identifiers 1

IdentifierTypeStateIssuer
8323401661OtherKROGER PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Saher6500@hotmail.com

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

LicenseStateTypeSpecialty
68586TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1508507823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CYPRESS CREEK PKWY # 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903518",
            "telephone_number": "281-397-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CYPRESS CREEK PKWY # 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903518",
            "telephone_number": "281-397-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHER ALKHATIB",
        "first_name": "ANAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KROGER PHARMACY",
            "identifier": "8323401661",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Saher6500@hotmail.com",
            "affiliation": "N",
            "address_1": "360 Cypress Creek Pkwy # 395",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.