Khatau-Manek LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014811 Issued in IL

Legal business name

KHATAU-MANEK LTD

Practice address

1400 E Golf Rd
Suite 101
Des Plaines, IL 60016-1236

Phone

(847) 296-1400

Fax

(847) 296-1431

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Jignesh GandhiNPI 1871588558

Title

President, Pic

Phone

(847) 296-1400

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HOLY FAMILY PLAZA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Khatau-Manek LTD

  • Long Term Care Pharmacy
  • Des Plaines, IL
  • NPI 1699460907
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jignesh Gandhi

  • Pharmacist
  • Des Plaines, IL
  • NPI 1871588558
  NPD (past) Authorized official
• Shameem Ajani, PHARMD

  • Pharmacist
  • Des Plaines, IL
  • NPI 1164176228
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1548202005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD",
            "address_2": "SUITE 101",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161236",
            "telephone_number": "847-296-1400",
            "fax_number": "847-296-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD",
            "address_2": "SUITE 101",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161236",
            "telephone_number": "847-296-1400",
            "fax_number": "847-296-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHATAU-MANEK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "847-296-1400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014811",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304331300001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY FAMILY PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ghufran S Khan
• Izza Aftab Khan, M.D
• Zishan Khan
• Zunaira Khan
• Saira Khanna, MD
• Khatau-Manek LTD
• Nanda Khedkar, M.D
• Joubin Khorsand, M.D.
• Lindsey Bell Kieca
• Peter Jurgen Kiefer, MD

• Community/Retail Pharmacy in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.