Individual provider Active NPI

Imran Khan, PHARM.D

  • Pharmacist
  • Oak Brook, IL
National Provider Identifier
1801416912
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051289728 Issued in IL
Practice address
1415 W 22ND St Ste 750E
Oak Brook, IL 60523-2074
Phone
(630) 938-2083
NPI assigned
Apr 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051289728 IL Primary

Addresses

Primary practice location

1415 W 22ND St Ste 750E
Oak Brook, IL 60523-2074

Mailing address

1415 W 22ND St Ste 750E
Oak Brook, IL 60523-2074

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Imran.khan@nm.org

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
051289728ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: imran.khan@nm.org

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1801416912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W 22ND ST STE 750E",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W 22ND ST STE 750E",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232074",
            "telephone_number": "630-938-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051289728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Imran.khan@nm.org",
            "affiliation": "N",
            "address_1": "1415 W 22nd St Ste 750E",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605232074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.