Abanoub Khalil, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

83950 Issued in CA

Practice address

14629 Seventh St
Victorville, CA 92395-4019

Phone

(818) 267-7068

NPI assigned

Dec 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1770179459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 SEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954019",
            "telephone_number": "818-267-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 SEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954019",
            "telephone_number": "818-267-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Burnet Ave Apt 19",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913432361",
            "country_code": "US",
            "telephone_number": "818-267-7068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "ABANOUB",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Kenney
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• Crystal Kerns
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• Brennan Key
• Andrew S. Khan, D.O.
• Eman J Khan
• Abdelrahman Khater
• Jin-Hyuk Kim, D.D.S.
• Justine J Kim, FNP

• Pharmacist in Victorville, CA
• Providers in Victorville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.