Active NPI
Odette Pasha Khalil, PHARM.D.
- Pharmacist
- Whittier, CA
National Provider Identifier
1649272428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48170
- 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, 2007
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH48170 | Other | CA | PHARMACIST 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
| License | State | Type | Specialty |
|---|---|---|---|
| 48170 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole and Andre Pharmaceutical Inc. | Current | Accepting new patients | |
| Nicole and Andre Pharmaceutical Inc. | Pharmacist | Current | 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.
-
dba Imperial Medical Supplies
- Durable Medical Equipment & Medical Supplies
- El Centro, CA
- NPI 1194919464
-
- Pharmacist
- Whittier, CA
- NPI 1851034102
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.