Active NPI
Thao N Khamnouane, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1811597040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48801
- Practice address
- 12000 McCree Rd
Dallas, TX 75238-3275 - Phone
- (214) 461-8777
- NPI assigned
- Oct 27, 2020
- 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 | 48801 | TX | Primary |
Addresses
Primary practice location
12000 McCree Rd
Dallas, TX 75238-3275
Mailing address
6303 Creek Bluff CT
Sachse, TX 75048-5658
Other practice location 1
6303 Creek Bluff Ct
Sachse, TX 75048-5658
Phone (214) 514-7371
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48801 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1811597040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 CREEK BLUFF CT",
"city": "SACHSE",
"state": "TX",
"postal_code": "750485658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 MCCREE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383275",
"telephone_number": "214-461-8777"
}
],
"practiceLocations": [
{
"address_1": "6303 Creek Bluff Ct",
"address_purpose": "LOCATION",
"city": "Sachse",
"state": "TX",
"postal_code": "750485658",
"country_code": "US",
"telephone_number": "214-514-7371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAMNOUANE",
"first_name": "THAO",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.