Individual provider Active NPI

Haresh Khakhkhar, PHARM.D.

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1780323808
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-038418 Issued in IL
Practice address
4909 W Division St Ste 102
Chicago, IL 60651-3108
Phone
(773) 287-1200
Fax
(773) 287-3594
NPI assigned
May 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44581 CA
Pharmacist 183500000X 051-038418 IL Primary

Addresses

Primary practice location

4909 W Division St Ste 102
Chicago, IL 60651-3108

Mailing address

4909 W Division St Ste 102
Chicago, IL 60651-3108
Phone (773) 287-1200

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051-038418ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rishi Pharmacy Inc CurrentSince May 29, 2022 Accepting new patients

Locations

4909 W Division St
Ste 102
Chicago, IL 60651
Phone (773) 287-1200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1780323808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513108",
            "telephone_number": "773-287-1200",
            "fax_number": "773-287-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513108",
            "telephone_number": "773-287-1200",
            "fax_number": "773-287-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAKHKHAR",
        "first_name": "HARESH",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44581",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-038418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.