Individual provider Active NPI

Fatemeh Khajehei, PHARM-D

  • Pharmacist
  • Houston, TX
National Provider Identifier
1649508557
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41171 Issued in TX
Practice address
12606 Westpark Dr
Houston, TX 77082-5526
Phone
(281) 558-5653
Fax
(281) 558-6309
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41171 TX Primary

Addresses

Primary practice location

12606 Westpark Dr
Houston, TX 77082-5526

Mailing address

13110 Ivyside Dr
Houston, TX 77077-5505
Phone (281) 589-1484

Other identifiers 1

IdentifierTypeStateIssuer
41171OtherTXPHARMACY LICENSE NUMBER (STATE BOARD OF PHARMACY)

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
41171TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1649508557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 IVYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775505",
            "telephone_number": "281-589-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 WESTPARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825526",
            "telephone_number": "281-558-5653",
            "fax_number": "281-558-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJEHEI",
        "first_name": "FATEMEH",
        "credential": "PHARM-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER (STATE BOARD OF PHARMACY)",
            "identifier": "41171",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.