Individual provider Active NPI

Odette Pasha Khalil, PHARM.D.

  • Pharmacist
  • Whittier, CA
National Provider Identifier
1649272428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48170 Issued in CO
Practice address
9209 Colima Rd
Whittier, CA 90605-1863
Phone
(562) 789-5852
Fax
(562) 789-5854
NPI assigned
Aug 11, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48170 CO Primary

Addresses

Primary practice location

9209 Colima Rd
Whittier, CA 90605-1863

Mailing address

940 Calle Simpatico
Glendale, CA 91208-3031
Phone (818) 241-3667

Other identifiers 1

IdentifierTypeStateIssuer
RPH48170OtherCAPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
48170COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole and Andre Pharmaceutical Inc. Current Accepting new patients
Nicole and Andre Pharmaceutical Inc. Pharmacist CurrentSince Apr 17, 2022 Accepting new patients

Locations

9209 Colima Rd
Whittier, CA 90605
Phone (562) 789-5852

Organizations & group practices 2

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649272428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CALLE SIMPATICO",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083031",
            "telephone_number": "818-241-3667",
            "fax_number": "818-500-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051863",
            "telephone_number": "562-789-5852",
            "fax_number": "562-789-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "ODETTE",
        "middle_name": "PASHA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "48170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RPH48170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.