Active NPI
Amir T Khan, PHARM.D.
- Pharmacist
- Stockton, CA
National Provider Identifier
1558633230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51125
- Practice address
- 2339 W Hammer LN Ste J
Stockton, CA 95209-2368 - Phone
- (209) 471-7100
- Fax
- (209) 471-7111
- NPI assigned
- Jan 27, 2012
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14304 | NV | |
| Pharmacist | 183500000X | 51125 | CA | Primary |
Addresses
Primary practice location
2339 W Hammer LN Ste J
Stockton, CA 95209-2368
Mailing address
5863 Saint Andrews Dr
Stockton, CA 95219-1930
Phone (209) 471-5426
Other practice location 1
10424 Trinity Pkwy
Stockton, CA 95219-7225
Phone (209) 235-0252
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 |
|---|---|---|---|
| 51125 | CA | MD | Pharmacist |
| 14304 | NV | MD | Pharmacist |
Organizations & group practices 3
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.
-
dba Hammer Lane Pharmacy Clinic
- Health Service Clinic/Center
- Stockton, CA
- NPI 1497634240
-
- Community/Retail Pharmacy
- Stockton, CA
- NPI 1669972121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1558633230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5863 SAINT ANDREWS DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952191930",
"telephone_number": "209-471-5426",
"fax_number": "209-477-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 W HAMMER LN STE J",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092368",
"telephone_number": "209-471-7100",
"fax_number": "209-471-7111"
}
],
"practiceLocations": [
{
"address_1": "10424 Trinity Pkwy",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952197225",
"country_code": "US",
"telephone_number": "209-235-0252",
"fax_number": "209-235-1326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "AMIR",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "14304",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.