Khalil Abufara, PHARMD
Individual provider Active NPI Pharmacist · Jacksonville, FL
NPI 1780073676 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1780073676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS52613 (FL)
- Practice address
- 4715 Hodges Blvd
Jacksonville, FL 32224-2216 - Phone
- (904) 992-3739
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS52613 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS52613 | FL | Yes |
Addresses
Primary practice location
4715 Hodges Blvd
Jacksonville, FL 32224-2216
Mailing address
4715 Hodges Blvd
Jacksonville, FL 32224-2216
Phone (904) 992-3739
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.