Active NPI
Omar Khamis
- Pharmacist
- La Verne, CA
National Provider Identifier
1831001361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 93101
- Practice address
- 2143 Foothill Blvd
La Verne, CA 91750-2942 - Phone
- (909) 596-6168
- NPI assigned
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 93101 | CA | Primary |
Addresses
Primary practice location
2143 Foothill Blvd
La Verne, CA 91750-2942
Mailing address
2143 Foothill Blvd
La Verne, CA 91750-2942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1831001361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502942",
"telephone_number": "909-596-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMIS",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "93101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.