Active NPI
Sara Ikhlaq, PHARM.D
- Pharmacist
- Sicklerville, NJ
National Provider Identifier
1639733157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26354
- Practice address
- 609 Berlin Cross Keys Rd Ste D1
Sicklerville, NJ 08081-9535 - Phone
- (856) 818-4040
- NPI assigned
- Apr 30, 2019
- Reactivated
- Sep 16, 2020
- Last updated
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 26354 | MD | Primary |
Addresses
Primary practice location
609 Berlin Cross Keys Rd Ste D1
Sicklerville, NJ 08081-9535
Mailing address
44 Red Fox TRL
Sicklerville, NJ 08081-3710
Phone (443) 366-2075
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 |
|---|---|---|---|
| 26354 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affan Pharmacare LLC | Current | Accepting new patients |
Locations
609 Berlin Cross Keys Rd
Ste D1
Sicklerville, NJ 08081
Phone (856) 818-4040
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1639733157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 RED FOX TRL",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813710",
"telephone_number": "443-366-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 BERLIN CROSS KEYS RD STE D1",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080819535",
"telephone_number": "856-818-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKHLAQ",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"deactivation_date": "2019-07-30",
"reactivation_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.