Mahmoud Khalil

Primary specialty

PharmacistTaxonomy code 183500000X

License

78513 Issued in CA

Practice address

15 W Harding Way
Stockton, CA 95204-5716

Phone

(209) 941-9632

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mahmoud Fawzi Megahed Helal Khalil Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Stockton, CA
  • NPI 1952316234
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1548874381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8081",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952080081",
            "telephone_number": "915-255-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W HARDING WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045716",
            "telephone_number": "209-941-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 E Bianchi Rd Apt 149",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952107609",
            "country_code": "US",
            "telephone_number": "915-255-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MAHMOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHMOUD",
            "last_name": "KHALIL",
            "middle_name": "FAWZI MEGAHED HELAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Francis Ketz, APRN
• Kevin Thang Pham, DDS, Inc.
• Golyar Keyhan, MD
• Sheril Keys
• Bernadette Khalil
• MD Ibrahim Khalil, DDS
• Saleem Khalili, PHARMD
• Jackson Kham
• Aziz Khambati, M.D.
• Lubena Shakir Khambaty, M.D.

• Pharmacist in Stockton, CA
• Providers in Stockton, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.