Active NPI
Naveen Khambum, RPH
- Pharmacist
- Baltimore, MD
National Provider Identifier
1629873757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14237
- Practice address
- 2300 Garrison Blvd Ste 200
Baltimore, MD 21216-2309 - Phone
- (410) 233-7000
- NPI assigned
- Feb 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14237 | MD | Primary |
Addresses
Primary practice location
2300 Garrison Blvd Ste 200
Baltimore, MD 21216-2309
Mailing address
10055 Windstream Dr Apt 4
Columbia, MD 21044-2535
Phone (443) 935-6285
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14237 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1629873757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10055 WINDSTREAM DR APT 4",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442535",
"telephone_number": "443-935-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GARRISON BLVD STE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212162309",
"telephone_number": "410-233-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBUM",
"first_name": "NAVEEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "14237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.