Active NPI
Humaira Khalid
- Pharmacist
- Brockton, MA
National Provider Identifier
1740997568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239351
- Practice address
- 83 Tribou St Unit 24
Brockton, MA 02301-6482 - Phone
- (732) 318-5426
- NPI assigned
- Nov 1, 2022
- 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 | PH239351 | MA | Primary |
Addresses
Primary practice location
83 Tribou St Unit 24
Brockton, MA 02301-6482
Mailing address
83 Tribou St Unit 24
Brockton, MA 02301-6482
Phone (732) 318-5426
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 |
|---|---|---|---|
| PH239351 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1740997568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 TRIBOU ST UNIT 24",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023016482",
"telephone_number": "732-318-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 TRIBOU ST UNIT 24",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023016482",
"telephone_number": "732-318-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "HUMAIRA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.