Active NPI
Islam Makhlouf
- Pharmacist
- Elizabethtown, KY
National Provider Identifier
1649795014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019340
- Practice address
- 508 W Dixie Ave
Elizabethtown, KY 42701-2437 - Phone
- (270) 769-3367
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- 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 | 019340 | KY | Primary |
Addresses
Primary practice location
508 W Dixie Ave
Elizabethtown, KY 42701-2437
Mailing address
604 Pennsylvania Ave Apt 4
Elizabethtown, KY 42701-1639
Phone (305) 492-9254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019340 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1649795014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 PENNSYLVANIA AVE APT 4",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011639",
"telephone_number": "305-492-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 W DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012437",
"telephone_number": "270-769-3367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKHLOUF",
"first_name": "ISLAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.