Active NPI
Nadia Khartabil, RPH
- Pharmacist
- San Diego, CA
National Provider Identifier
1669845152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64078
- Practice address
- 8915 Towne Centre Dr
San Diego, CA 92122-5650 - Phone
- (858) 550-9066
- NPI assigned
- Nov 5, 2015
- Last updated
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 64078 | CA | Primary |
Addresses
Primary practice location
8915 Towne Centre Dr
San Diego, CA 92122-5650
Mailing address
7255 Calabria CT Unit 41
San Diego, CA 92122-6022
Phone (386) 334-9831
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64078 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
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": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1669845152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 CALABRIA CT UNIT 41",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921226022",
"telephone_number": "386-334-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 TOWNE CENTRE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225650",
"telephone_number": "858-550-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARTABIL",
"first_name": "NADIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.